Page Status: updated 2025-02-07

MedicationRequest

Page index

Introduction
Overview
- Contained resources
Details
Supported operations
Exampels

Introduction

In the Swedish National Medication List, the MedicationRequest resource, shown in the profile NLLMedicationRequest, represents a prescription. This resource is used when prescribing medicinal products and medical consumables.

The profile is used for both ordinary packaged prescriptions (sv helförpackningsförskrivning) and for dose dispensed prescriptions (sv: dosdipenserad förskrivning).

A prescription can be issued to a patient identified with a Swedish personal identity number or by name and birth date.

When the patient has a Swedish personal identity number (sv: personnummer) the "subject" element is a literal reference to the Patient. If the perscription is issued to a patient identified by name and birthdate, the "subject" element is an inline reference to a Patient, i.e. a contained Patient, and the prescription must be adressed to a specific pharmacy (by the element nllReceivingPharmacy).

The prescriber (the "requester" element) is always handled as a contained Practitioner.

When a prescription is renewed (sv: förnyad), replaced (sv: ersatt) or when a new parallell prescrioption is registered (sv: registrera), the new prescription is linked to the preceeding prescription in a prescription chain. (More information about parallell prescriptions is available in this section below: Parallell prescriptions in a prescription chain).
All prescriptions in a prescription chain have the same prescription chain-id (in the element nllPrescriptionChain).

For every change in a patient's medication list (medication requests, medication dispenses, multi dose dispenses, multi dose consents) meta data about the change is saved as a Provenance.

Regarding information about how the "must support"-property is used in the Swedish National MedicationList, please refer to the page Resources

Overview

NLLMedicationRequest (MedicationRequest)	I		MedicationRequest	Element id MedicationRequest Short description A prescription for a patient Alternate names Prescription, Order Definition MedicationRequest in the National Swedish Medication List is used for prescriptions for a patient. A prescription can be made for either a medicine package or for a reimbursed consumable. Data type MedicationRequest Constraints dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.empty()` dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource `contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()` dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()` dom-5: If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` dom-6: A resource should have narrative for robust management text.`div`.exists() Mappings rim: Entity. Role, or Act workflow: Request script10.6: Message/Body/NewRx rim: CombinedMedicationRequest
id	S Σ	0..1	string	Element id MedicationRequest.id Short description Logical id of this artifact Definition The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. Comments The only time that a resource does not have an id is when it is being submitted to the server using a create operation. This id is identified by the URI http://electronichealth.se/identifier/nllmedicationrequestid in documentation and external systems. Data type string Mappings EHM: Förskrivnings-id
meta	S Σ	0..1	Meta	There are no (further) constraints on this element Element id MedicationRequest.meta Short description Metadata about the resource Definition The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. Data type Meta Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.meta.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.meta.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
versionId	S Σ	0..1	id	Element id MedicationRequest.meta.versionId Short description Version specific identifier Definition The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted. Comments The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes. Data type id Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings EHM: Förskrivningsversion
lastUpdated	Σ	0..1	instant	There are no (further) constraints on this element Element id MedicationRequest.meta.lastUpdated Short description When the resource version last changed Definition When the resource last changed - e.g. when the version changed. Comments This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction. Data type instant Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
source	Σ	0..1	uri	There are no (further) constraints on this element Element id MedicationRequest.meta.source Short description Identifies where the resource comes from Definition A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc. Comments In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
profile	Σ	0..*	canonical(StructureDefinition)	There are no (further) constraints on this element Element id MedicationRequest.meta.profile Short description Profiles this resource claims to conform to Definition A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. Comments It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set. Data type canonical(StructureDefinition) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
security	S Σ	0..*	CodingBinding	Element id MedicationRequest.meta.security Short description Security Labels applied to this resource Definition Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. Comments The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored. Data type Coding Binding Security Labels from the Healthcare Privacy and Security Classification System. security-labels (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.meta.security.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.meta.security.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
system	S Σ	0..1	uri	There are no (further) constraints on this element Element id MedicationRequest.meta.security.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	S Σ	0..1	string	There are no (further) constraints on this element Element id MedicationRequest.meta.security.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	0..1	code	There are no (further) constraints on this element Element id MedicationRequest.meta.security.code Short description Symbol in syntax defined by the system Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationRequest.meta.security.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id MedicationRequest.meta.security.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
tag	Σ	0..*	Coding	There are no (further) constraints on this element Element id MedicationRequest.meta.tag Short description Tags applied to this resource Definition Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource. Comments The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored. Data type Coding Binding Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". CommonTags (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
implicitRules	Σ ?!	0..1	uri	There are no (further) constraints on this element Element id MedicationRequest.implicitRules Short description A set of rules under which this content was created Definition A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. Comments Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
language		0..1	codeBinding	There are no (further) constraints on this element Element id MedicationRequest.language Short description Language of the resource content Definition The base language in which the resource is written. Comments Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). Data type code Binding A human language. CommonLanguages (preferred) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
text		0..1	Narrative	There are no (further) constraints on this element Element id MedicationRequest.text Short description Text summary of the resource, for human interpretation Alternate names narrative, html, xhtml, display Definition A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. Comments Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. Data type Narrative Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: Act.text?
contained		0..*	Resource	There are no (further) constraints on this element Element id MedicationRequest.contained Short description Contained, inline Resources Alternate names inline resources, anonymous resources, contained resources Definition These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. Comments This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels. Data type Resource Mappings rim: N/A
extension	I	2..*	Extension	Element id MedicationRequest.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: N/A
nllPatientTreatmentReason	S I	0..1	Extension(string)	Element id MedicationRequest.extension:nllPatientTreatmentReason Short description The treatment reason described for the patient Alternate names extensions, user content Definition The reason for the treatment described in a way that is understood by the patient (behandlingsändamål). A text can be selected from "Nationell källa för ordinationsorsak" (NKOO). It is also possible to enter free text. NKOO is a code system that is defined by the Swedish National Board of Health and Welfare (Socialstyrelsen). The code system consists of SnomedCT codes for reasons (behandlingsorsak). Each medical product has a selection of valid SnomedCT reason codes, and in connection with the codes are the available patient reasons. The corresponding patient text could be entered here in "nllPatientTreatmentReason", and the SnomedCT reason code (behandlingsorsak) should be entered in "reasonCode". Comments Maximum string length: 256 Data type Extension(string) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLPatientTreatmentReason Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: N/A rim: n/a EHM: Behandlingsändamål
nllPrescriptionChain	S I	0..1	Extension(uuid)	Element id MedicationRequest.extension:nllPrescriptionChain Short description Prescription chain id Alternate names extensions, user content Definition Id used to identify all prescriptions in one prescription chain. A prescription chain is a set of prescriptions that are linked together in chronological order (The attribute priorPrescription is used to find the previos prescription.) A prescription chain is created ie when a prescription is renewed or replaced. The purpose is to be able to provide a grouping of related prescriptions. If a Prescription chain id is not provided in a POST of a MedicationRequest, a new prescription chain id is set by the Swedish eHealth Agency when the prescription is created. Prescription chain id is available on all prescriptions. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension(uuid) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLPrescriptionChain Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: N/A rim: n/a EHM: Förskrivningskedje-id
nllPrescriptionFormat	S I	1..1	Extension(code)Binding	Element id MedicationRequest.extension:nllPrescriptionFormat Short description Current prescription format Alternate names extensions, user content Definition Current prescription format can be either "electronic" (Elektroniskt) or "paper" (Papper). If the prescription has been printed out on paper, i.e. the format is "paper" , then the patient needs to bring the print-out with him to the pharmacy to be able to get a dispense. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension(code) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLPrescriptionFormat Binding prescription-formats (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: N/A rim: n/a EHM: Aktuellt format
nllTreatmentDates	S I	0..1	Extension(Complex)	Element id MedicationRequest.extension:nllTreatmentDates Short description Treatment dates Alternate names extensions, user content Definition Treatment dates as defined by the Swedish law "Lag (2018:1212) om nationell läkemedelslista", chapter 3, 8§, section 5. The latest date when the medical treatment should be either reviewed or ended. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension(Complex) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLTreatmentDates Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: N/A rim: n/a
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.extension:nllTreatmentDates.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.extension:nllTreatmentDates.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
treatmentReviewDate	S I	0..1	Extension	Element id MedicationRequest.extension:nllTreatmentDates.extension:treatmentReviewDate Short description Treatment review date Alternate names extensions, user content Definition The latest date at which a review of the ongoing treatment must be made. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a EHM: Senaste datum för uppföljning av behandling
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.extension:nllTreatmentDates.extension:treatmentReviewDate.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.extension:nllTreatmentDates.extension:treatmentReviewDate.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id MedicationRequest.extension:nllTreatmentDates.extension:treatmentReviewDate.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value treatmentReviewDate Mappings rim: N/A
value[x]		0..1		There are no (further) constraints on this element Element id MedicationRequest.extension:nllTreatmentDates.extension:treatmentReviewDate.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
valueDate			date	There are no (further) constraints on this element Data type date
treatmentEndDate	S I	0..1	Extension	Element id MedicationRequest.extension:nllTreatmentDates.extension:treatmentEndDate Short description Treatment end date Alternate names extensions, user content Definition The latest date at which the prescriber orders that the treatment must end. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a EHM: Senaste datum för avslut av behandling
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.extension:nllTreatmentDates.extension:treatmentEndDate.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.extension:nllTreatmentDates.extension:treatmentEndDate.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id MedicationRequest.extension:nllTreatmentDates.extension:treatmentEndDate.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value treatmentEndDate Mappings rim: N/A
value[x]		0..1		There are no (further) constraints on this element Element id MedicationRequest.extension:nllTreatmentDates.extension:treatmentEndDate.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
valueDate			date	There are no (further) constraints on this element Data type date
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id MedicationRequest.extension:nllTreatmentDates.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value http://electronichealth.se/fhir/StructureDefinition/NLLTreatmentDates Mappings rim: N/A
value[x]		0..0		There are no (further) constraints on this element Element id MedicationRequest.extension:nllTreatmentDates.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
nllRegistrationBasis	S I	1..1	Extension(code)Binding	Element id MedicationRequest.extension:nllRegistrationBasis Short description Format when the prescription was registered Alternate names extensions, user content Definition The format of the basis for the registration of the prescription. A prescriber can only register prescriptions in electronic format in the Swedish National Medication List. A pharmacy can also register a prescription based on paper prescription, or based on a phone call from a prescriber. This value is entered when creating the prescription, and is never updated. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension(code) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLRegistrationBasis Binding registration-basis (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: N/A rim: n/a EHM: Typ av registreringsunderlag
nllUsageDates	S I	0..1	Extension(Complex)	Element id MedicationRequest.extension:nllUsageDates Short description Usage dates Alternate names extensions, user content Definition Dates that are used for scheduling the use of the prescribed article. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension(Complex) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLUsageDates Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: N/A rim: n/a
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.extension:nllUsageDates.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.extension:nllUsageDates.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
usageStartDate	S I	0..1	Extension	Element id MedicationRequest.extension:nllUsageDates.extension:usageStartDate Short description When the patient should start using the medication. Alternate names extensions, user content Definition The date when the patient should start administering the medication according to the prescription. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a EHM: Första doseringsdag
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.extension:nllUsageDates.extension:usageStartDate.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.extension:nllUsageDates.extension:usageStartDate.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id MedicationRequest.extension:nllUsageDates.extension:usageStartDate.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value usageStartDate Mappings rim: N/A
value[x]		0..1		There are no (further) constraints on this element Element id MedicationRequest.extension:nllUsageDates.extension:usageStartDate.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
valueDate			date	There are no (further) constraints on this element Data type date
usageEndDate	S I	0..1	Extension	Element id MedicationRequest.extension:nllUsageDates.extension:usageEndDate Short description When the patient should stop using the medication. Alternate names extensions, user content Definition The date when the patient should stop administering the medication according to current prescription. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a EHM: Sista doseringsdag
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.extension:nllUsageDates.extension:usageEndDate.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.extension:nllUsageDates.extension:usageEndDate.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id MedicationRequest.extension:nllUsageDates.extension:usageEndDate.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value usageEndDate Mappings rim: N/A
value[x]		0..1		There are no (further) constraints on this element Element id MedicationRequest.extension:nllUsageDates.extension:usageEndDate.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
valueDate			date	There are no (further) constraints on this element Data type date
scheduleStartDate	S I	0..1	Extension	Element id MedicationRequest.extension:nllUsageDates.extension:scheduleStartDate Short description Dosage schedule start date Alternate names extensions, user content Definition Set by the Swedish eHealth Agency. Date used in renewed prescriptions whith repeating dosages for calculating the current day in the schedule. Used for repeating dosages with "time of day" or "when" (sv tillfällesdosering) and a UsageStartDate (första doseringsdag). Comments Schedule Start Date is a mechanism for calculating the current day in the schedule when a prescription with a repeating schedule has been renewed once or several times. Schedule Start Date is the original Usage Start Date form the first prescription when the schedule was defined. Example: The first prescription had a Usage Start Date which was 2020-08-23 and the schedule repeats every second day ("Take every second day"). Then the Schedule Start Date will be set to 2020-08-23 and togehter with the instructions of the schedule it is possible calculate which day of the schedule any given date will correspond to, ie a day when the patient should take the medication or a day when no medication should be administered. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a EHM: Schemastartdag
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.extension:nllUsageDates.extension:scheduleStartDate.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.extension:nllUsageDates.extension:scheduleStartDate.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id MedicationRequest.extension:nllUsageDates.extension:scheduleStartDate.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value scheduleStartDate Mappings rim: N/A
value[x]		0..1		There are no (further) constraints on this element Element id MedicationRequest.extension:nllUsageDates.extension:scheduleStartDate.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
valueDate			date	There are no (further) constraints on this element Data type date
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id MedicationRequest.extension:nllUsageDates.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value http://electronichealth.se/fhir/StructureDefinition/NLLUsageDates Mappings rim: N/A
value[x]		0..0		There are no (further) constraints on this element Element id MedicationRequest.extension:nllUsageDates.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
nllCompletePrescriptionChoice	S I	0..1	Extension(code)Binding	Element id MedicationRequest.extension:nllCompletePrescriptionChoice Short description Prescription completion descision Alternate names extensions, user content Definition Only used for input. When 12% or less of the total quantity of the prescribed medication is left, the prescription will automatically be set to status "Completed". A pharmacist can make a descision to overrule the automatic rules by either choosing to set the prescription status to "Completed" or to keep the status "Active". Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension(code) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLCompletePrescriptionChoice Binding complete-prescription-choices (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: N/A rim: n/a EHM: Beslut slutexpediering
nllOrdinationsId	S I	0..1	Extension(decimal)	Element id MedicationRequest.extension:nllOrdinationsId Short description OrdinationsId from OR (Receptdepå human) Alternate names extensions, user content Definition Calculated by the Swedish eHealth Agency. Not used for input. Legacy id used for identifying prescriptions which is used in the OR (Receptdepå human) API. In OR this corresponds to ordinationsId, which is unique for each version of the prescription. This attribute will be removed after the end of the transition period. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension(decimal) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLOrdinationsId Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: N/A rim: n/a EHM: OR-OrdinationsId
nllTidigareOrdinationsid	S I	0..1	Extension(decimal)	Element id MedicationRequest.extension:nllTidigareOrdinationsid Short description Tidigare OrdinationsId OR (Receptdepå human) Alternate names extensions, user content Definition Calculated by the Swedish eHealth Agency. Not used for input. Legacy id used for identifying prescriptions which is used in the OR (Receptdepå human) API. "Tidigare OrdinationsId" is used for identifying a prior prescription originally created in OR (Receptdepå Human) . In OR this corresponds to tidigareOrdinationsId. This attribute will be removed after the end of the transition period. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension(decimal) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLTidigareOrdinationsid Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: N/A rim: n/a EHM: Referens till tidigare OR-ordinations-id
modifierExtension	?! I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.modifierExtension Short description Extensions that cannot be ignored Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: N/A
identifier	S	0..*	Identifier	Element id MedicationRequest.identifier Short description External ids for this request Definition Identifiers associated with this medication request that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server. Comments This is a business identifier, not a resource identifier. Data type Identifier Sliced: Unordered, Open, by system(Value) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Request.identifier script10.6: Message/Header/PrescriberOrderNumber w5: FiveWs.identifier v2: ORC-2-Placer Order Number / ORC-3-Filler Order Number rim: .id
NEF	S	0..1	Identifier	Element id MedicationRequest.identifier:NEF Short description Legacy ids used in NEF and OR Definition Ids used for identifying prescriptions originally created in NEF or OR. In OR this corresponds to originalOrdinationsId, which is the same as PrescriptionSetId in NEF. In OR a originalOrdinationsId/PrescriptionSetId always correspons to one unique prescription. In NEF the combination of PrescriptionSetId-PrescriptionItemId corresponds to one unique prescription. PrescriptionItemId is made up from RowId-ProductRowId. originalOrdinationsId/PrescriptionSetId is in the form of a UUID. RowId and ProductRowId are counters. These attributes will be removed after the end of the transition period. Comments This is a business identifier, not a resource identifier. Data type Identifier Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Request.identifier script10.6: Message/Header/PrescriberOrderNumber w5: FiveWs.identifier v2: ORC-2-Placer Order Number / ORC-3-Filler Order Number rim: .id
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.identifier:NEF.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.identifier:NEF.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
NEFIdParts	S I	0..1	Extension(Complex)	Element id MedicationRequest.identifier:NEF.extension:NEFIdParts Short description Legacy id NEF and OR Alternate names extensions, user content Definition IDs used by the old e-prescription format NEF, Nationell E-receptförvaltning and OR, Receptdepå Human. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension(Complex) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLNEFId Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.identifier:NEF.extension:NEFIdParts.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	1..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.identifier:NEF.extension:NEFIdParts.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
PrescriptionSetId	S I	1..1	Extension	Element id MedicationRequest.identifier:NEF.extension:NEFIdParts.extension:PrescriptionSetId Short description PrescriptionSetId / Originalordinationsid Alternate names extensions, user content Definition NEF: PrescriptionSetId, OR: Originalordinationsid is a legacy identifier used by NEF/PIRR and OR. Every prescription created by systems connected before Swedish National Medication List will have a PrescriptionSetId/orignalordinationsid. However, it does not allways identify a unique prescription. To search for a unique prescriptions the RowId/radnummer and ProductRowId/produktradnummer may be needed as well. Comments Maximum string length: 36 Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a EHM: Originalordinations-id
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.identifier:NEF.extension:NEFIdParts.extension:PrescriptionSetId.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.identifier:NEF.extension:NEFIdParts.extension:PrescriptionSetId.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id MedicationRequest.identifier:NEF.extension:NEFIdParts.extension:PrescriptionSetId.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value PrescriptionSetId Mappings rim: N/A
value[x]		0..1		There are no (further) constraints on this element Element id MedicationRequest.identifier:NEF.extension:NEFIdParts.extension:PrescriptionSetId.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Maximum string length 36 Mappings rim: N/A
valueString			string	There are no (further) constraints on this element Data type string
RowId	S I	0..1	Extension	Element id MedicationRequest.identifier:NEF.extension:NEFIdParts.extension:RowId Short description NEF: PrescriptionItemId first part Alternate names extensions, user content Definition NEF: PrescriptionItemId the first part of ReceptradId that corresponds to sekvensnummer/radnummer. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a EHM: Radnummer
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.identifier:NEF.extension:NEFIdParts.extension:RowId.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.identifier:NEF.extension:NEFIdParts.extension:RowId.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id MedicationRequest.identifier:NEF.extension:NEFIdParts.extension:RowId.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value RowId Mappings rim: N/A
value[x]		0..1		There are no (further) constraints on this element Element id MedicationRequest.identifier:NEF.extension:NEFIdParts.extension:RowId.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
valuePositiveInt			positiveInt	There are no (further) constraints on this element Data type positiveInt
ProductRowId	S I	0..1	Extension	Element id MedicationRequest.identifier:NEF.extension:NEFIdParts.extension:ProductRowId Short description NEF: PrescriptionItemId second part Alternate names extensions, user content Definition NEF: PrescriptionItemId the second part of ReceptradId that corresponds to löpnummer/produktradnummer. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a EHM: Produktradnummer
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.identifier:NEF.extension:NEFIdParts.extension:ProductRowId.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.identifier:NEF.extension:NEFIdParts.extension:ProductRowId.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id MedicationRequest.identifier:NEF.extension:NEFIdParts.extension:ProductRowId.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value ProductRowId Mappings rim: N/A
value[x]		0..1		There are no (further) constraints on this element Element id MedicationRequest.identifier:NEF.extension:NEFIdParts.extension:ProductRowId.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
valuePositiveInt			positiveInt	There are no (further) constraints on this element Data type positiveInt
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id MedicationRequest.identifier:NEF.extension:NEFIdParts.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value http://electronichealth.se/fhir/StructureDefinition/NLLNEFId Mappings rim: N/A
value[x]		0..0		There are no (further) constraints on this element Element id MedicationRequest.identifier:NEF.extension:NEFIdParts.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element id MedicationRequest.identifier:NEF.use Short description usual \| official \| temp \| secondary \| old (If known) Definition The purpose of this identifier. Requirements Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Comments Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Data type code Binding Identifies the purpose for this identifier, if known . IdentifierUse (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: N/A rim: Role.code or implied by context
type	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element id MedicationRequest.identifier:NEF.type Short description Description of identifier Definition A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Requirements Allows users to make use of identifiers when the identifier system is not known. Comments This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. Data type CodeableConcept Binding A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CX.5 rim: Role.code or implied by context
system	S Σ	1..1	uriFixed Value	Element id MedicationRequest.identifier:NEF.system Short description The namespace for the identifier value Definition Establishes the namespace for the value - that is, a URL that describes a set values that are unique. Requirements There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Comments Identifier.system is always case sensitive. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed value http://electronichealth.se/fhir/NamingSystem/NEFId Mappings v2: CX.4 / EI-2-4 rim: II.root or Role.id.root servd: ./IdentifierType
value	S Σ	0..1	string	Element id MedicationRequest.identifier:NEF.value Short description The complete NEFid Definition Calculated by the Swedish eHealth Agency. The complete NEFid for the specific prescribed article, i.e. a combination of PrescriptionSetId and PrescriptionItemId where applicable. PrescriptionItemId is made up from RowId-ProductRowId. In OR only PrescriptionSetId/originalOrdinationsId is used. originalOrdinationsId/PrescriptionSetId is in the form of a UUID. RowId and ProductRowId are counters. The format is "PrescriptionSetId/Originalordinationsid - PrescriptionItemid/RadnummerNEF", i.e. UUID-x-y. Example 123e4567-e89b-12d3-a456-426655440000-2-1, where the ending "2-1" are RowId-ProductRowId. Comments If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 123456 Mappings v2: CX.1 / EI.1 rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd: ./Value EHM: Kombinerat NEF-id
period	Σ	0..1	Period	There are no (further) constraints on this element Element id MedicationRequest.identifier:NEF.period Short description Time period when id is/was valid for use Definition Time period during which identifier is/was valid for use. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CX.7 + CX.8 rim: Role.effectiveTime or implied by context servd: ./StartDate and ./EndDate
assigner	Σ	0..1	Reference(Organization)	There are no (further) constraints on this element Element id MedicationRequest.identifier:NEF.assigner Short description Organization that issued id (may be just text) Definition Organization that issued/manages the identifier. Comments The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization. Data type Reference(Organization) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CX.4 / (CX.4,CX.9,CX.10) rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd: ./IdentifierIssuingAuthority
status	S Σ ?!	1..1	codeBinding	Element id MedicationRequest.status Short description active \| on-hold \| cancelled \| completed \| stopped Definition The status of the prescription. The following statuses will be used: active, cancelled, on-hold (suspended), completed and stopped. The following statuses will not be used: entered-in-error, draft and unknown. Comments This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. Data type code Binding A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. medication-request-status (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Request.status script10.6: no mapping w5: FiveWs.status rim: .statusCode EHM: Förskrivningsstatus
statusReason	S	0..1	CodeableConceptBinding	Element id MedicationRequest.statusReason Short description Reason for current status Definition Set by the Swedish E-health Agency. Reason for the current status of the prescription. Comments This is generally only used for "exception" statuses such as "suspended" or "cancelled". The reason why the MedicationRequest was created at all is captured in reasonCode, not here. Data type CodeableConcept Binding Identifies the reasons for a given status. medication-request-status-reasons (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Request.statusReason rim: .inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde EHM: Förskrivningsstatusorsak
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.statusReason.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.statusReason.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
coding	S Σ	0..1	Coding	There are no (further) constraints on this element Element id MedicationRequest.statusReason.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data type Coding Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.statusReason.coding.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.statusReason.coding.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
system	S Σ	1..1	uri	There are no (further) constraints on this element Element id MedicationRequest.statusReason.coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	S Σ	0..1	string	There are no (further) constraints on this element Element id MedicationRequest.statusReason.coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	code	There are no (further) constraints on this element Element id MedicationRequest.statusReason.coding.code Short description Symbol in syntax defined by the system Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationRequest.statusReason.coding.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id MedicationRequest.statusReason.coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationRequest.statusReason.text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments Very often the text is the same as a displayName of one of the codings. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
intent	S Σ ?!	1..1	codeBindingFixed Value	Element id MedicationRequest.intent Short description order Definition A prescription is always an order. Comments It is expected that the type of requester will be restricted for different stages of a MedicationRequest. For example, Proposals can be created by a patient, relatedPerson, Practitioner or Device. Plans can be created by Practitioners, Patients, RelatedPersons and Devices. Original orders can be created by a Practitioner only. An instance-order is an instantiation of a request or order and may be used to populate Medication Administration Record. This element is labeled as a modifier because the intent alters when and how the resource is actually applicable. Data type code Binding The kind of medication order. medicationRequest Intent (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed value order Mappings workflow: Request.intent w5: FiveWs.class rim: .moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere)
category		0..*	CodeableConcept	There are no (further) constraints on this element Element id MedicationRequest.category Short description Type of medication usage Definition Indicates the type of medication request (for example, where the medication is expected to be consumed or administered (i.e. inpatient or outpatient)). Comments The category can be used to include where the medication is expected to be consumed or other types of requests. Data type CodeableConcept Binding A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment. medicationRequest Category Codes (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings script10.6: Message/Body/NewRx/MedicationPrescribed/Directions or Message/Body/NewRx/MedicationPrescribed/StructuredSIG w5: FiveWs.class rim: .inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="type of medication usage"].value
priority	S Σ	0..1	codeBinding	Element id MedicationRequest.priority Short description urgent Definition Shall only be used for dose dispensed prescriptions. Indicates that actions may need to be taken before next ordinary production date. Data type code Binding Identifies the level of importance to be assigned to actioning the request. medication-request-priority (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Request.priority w5: FiveWs.grade rim: .priorityCode EHM: Akut förändring
doNotPerform	Σ ?!	0..1	boolean	There are no (further) constraints on this element Element id MedicationRequest.doNotPerform Short description True if request is prohibiting action Definition If true indicates that the provider is asking for the medication request not to occur. Comments If do not perform is not specified, the request is a positive request e.g. "do perform". Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: SubstanceAdministration.actionNegationInd
reported[x]	Σ	0..1		There are no (further) constraints on this element Element id MedicationRequest.reported[x] Short description Reported rather than primary record Definition Indicates if this record was captured as a secondary 'reported' record rather than as an original primary source-of-truth record. It may also indicate the source of the report. Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .participation[typeCode=INF].role
reportedBoolean			boolean	There are no (further) constraints on this element Data type boolean
reportedReference			Reference(Patient \| Practitioner \| PractitionerRole \| RelatedPerson \| Organization)	There are no (further) constraints on this element Data type Reference(Patient \| Practitioner \| PractitionerRole \| RelatedPerson \| Organization)
medication[x]	S Σ	1..1		Element id MedicationRequest.medication[x] Short description Prescribed article Definition Identifies the medical product or medical consumable being prescribed. Medical products are prescribed using both NPL-id (medical product) and NPL-pack-id (packaged medical product). Medical consumables are prescribed using item number (sv varunummer). Comments If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the Medication resource is recommended. For example, if you require form or lot number or if the medication is compounded or extemporaneously prepared, then you must reference the Medication resource. Binding A coded concept identifying substance or product that can be ordered. SNOMEDCTMedicationCodes (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Request.code script10.6: Message/Body/NewRx/MedicationPrescribed Medication.code.coding.code = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCode Medication.code.coding.system = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCodeQualifier Medication.code.coding.display = Message/Body/NewRx/MedicationPrescribed/DrugDescription w5: FiveWs.what[x] v2: RXE-2-Give Code / RXO-1-Requested Give Code / RXC-2-Component Code rim: consumable.administrableMedication EHM: Artikel
medicationCodeableConcept			CodeableConcept	Data type CodeableConcept
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.medication[x].id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.medication[x].extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
coding	S Σ	1..*	Coding	Element id MedicationRequest.medication[x].coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data type Coding Sliced: Unordered, Open, by system(Value) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
nplid	S Σ	0..1	Coding	Element id MedicationRequest.medication[x].coding:nplid Short description NPL-id Definition A unique identifier of a medical product according to "Nationellt produktregister för läkemedel" provided by the Swedish Medical Products Agency (sv Läkemedelsverket) Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments The naming system http://electronichealth.se/fhir/NamingSystem/nplid includes both NPL ID defined by Läkemedelsverket and SB ID defined by E-hälsomyndigheten Data type Coding Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding EHM: NPL-id
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.medication[x].coding:nplid.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.medication[x].coding:nplid.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
system	S Σ	1..1	uriFixed Value	Element id MedicationRequest.medication[x].coding:nplid.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed value http://electronichealth.se/fhir/NamingSystem/nplid Mappings v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationRequest.medication[x].coding:nplid.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	code	Element id MedicationRequest.medication[x].coding:nplid.code Short description Symbol in syntax defined by the system Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Comments Maximum string length: 14 Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationRequest.medication[x].coding:nplid.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id MedicationRequest.medication[x].coding:nplid.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
nplpackid	S Σ	0..1	Coding	Element id MedicationRequest.medication[x].coding:nplpackid Short description NPL-pack-id Definition A unique identifier of a medical product package according to "Nationellt produktregister för läkemedel" provided by the Swedish Medical Products Agency (sv Läkemedelsverket) Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments The naming system http://electronichealth.se/fhir/NamingSystem/nplpackid includes both NPL-Pack ID defined by Läkemedelsverket and SB-Pack ID defined by E-hälsomyndigheten Data type Coding Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding EHM: NPL-pack-id
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.medication[x].coding:nplpackid.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.medication[x].coding:nplpackid.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
system	S Σ	1..1	uriFixed Value	Element id MedicationRequest.medication[x].coding:nplpackid.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed value http://electronichealth.se/fhir/NamingSystem/nplpackid Mappings v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationRequest.medication[x].coding:nplpackid.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	code	Element id MedicationRequest.medication[x].coding:nplpackid.code Short description Symbol in syntax defined by the system Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Comments Maximum string length: 14 Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationRequest.medication[x].coding:nplpackid.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id MedicationRequest.medication[x].coding:nplpackid.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
varunr	S Σ	0..1	Coding	Element id MedicationRequest.medication[x].coding:varunr Short description Varunummer Definition A unique identifier of a medical consumable according to "Nationellt produktregister för läkemedel" provided by the Swedish Medical Products Agency (sv Läkemedelsverket) Also a non-unique identifier of a medical product package. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data type Coding Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding EHM: Varunummer
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.medication[x].coding:varunr.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.medication[x].coding:varunr.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
system	S Σ	1..1	uriFixed Value	Element id MedicationRequest.medication[x].coding:varunr.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed value http://electronichealth.se/fhir/NamingSystem/varunr Mappings v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationRequest.medication[x].coding:varunr.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	code	Element id MedicationRequest.medication[x].coding:varunr.code Short description Symbol in syntax defined by the system Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Comments Minimum string length: 6 Maximum string length: 6 Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationRequest.medication[x].coding:varunr.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id MedicationRequest.medication[x].coding:varunr.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	S Σ	0..1	string	Element id MedicationRequest.medication[x].text Short description Information about the prescribed article Definition FOR FUTURE USE, SHOULD NOT BE USED! Used to provide information about the prescribed article when a specified article isn´t available. For example when prescribing extemporaneous preparations. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments Max length: 255 Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Maximum string length 255 Mappings v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText EHM: Beskrivning artikel
subject	S Σ	1..1	Reference(NLLPatient)	Element id MedicationRequest.subject Short description Who the prescription is for Definition Patient resource representing the person to whom the medical product will be given. When the patient has a Swedish personal identity number (personnummer) the patient shall be provided as a referenced Patient resorce. If the patient does not have a Swedish personal identity number the Patient resource should be contained in the MedicationRequest resource. Comments The subject on a medication request is mandatory. For the secondary use case where the actual subject is not provided, there still must be an anonymized subject specified. Data type Reference(NLLPatient) Allowed aggregation: contained, referenced Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Request.subject script10.6: Message/Body/NewRx/Patient (need detail to link to specific patient … Patient.Identification in SCRIPT) w5: FiveWs.subject[x] v2: PID-3-Patient ID List rim: .participation[typeCode=AUT].role w5: FiveWs.subject EHM: Patientreferens
encounter		0..1	Reference(Encounter)	There are no (further) constraints on this element Element id MedicationRequest.encounter Short description Encounter created as part of encounter/admission/stay Definition The Encounter during which this [x] was created or to which the creation of this record is tightly associated. Comments This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter." If there is a need to link to episodes of care they will be handled with an extension. Data type Reference(Encounter) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Request.context script10.6: no mapping w5: FiveWs.context v2: PV1-19-Visit Number rim: .inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code="type of encounter or episode"]
supportingInformation		0..*	Reference(Resource)	There are no (further) constraints on this element Element id MedicationRequest.supportingInformation Short description Information to support ordering of the medication Definition Include additional information (for example, patient height and weight) that supports the ordering of the medication. Data type Reference(Resource) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Request.supportingInfo w5: FiveWs.context rim: .outboundRelationship[typeCode=PERT].target[A_SupportingClinicalStatement CMET minimal with many different choices of classCodes(ORG, ENC, PROC, SPLY, SBADM, OBS) and each of the act class codes draws from one or more of the following moodCodes (EVN, DEF, INT PRMS, RQO, PRP, APT, ARQ, GOL)]
authoredOn	S Σ	1..1	dateTime	Element id MedicationRequest.authoredOn Short description When prescription was initially authored Definition The date and time when the prescription was authored. Comments The time part is not mandatory, only a date may be provided. Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Request.authoredOn script10.6: Message/Body/NewRx/MedicationPrescribed/WrittenDate w5: FiveWs.recorded v2: RXE-32-Original Order Date/Time / ORC-9-Date/Time of Transaction rim: author.time EHM: Utfärdandedatum
requester	S Σ	1..1	Reference(NLLPractitioner)	Element id MedicationRequest.requester Short description The practitioner who prescribed the article Definition The practitioner who prescribed the article Data type Reference(NLLPractitioner) Allowed aggregation: contained Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Request.requester w5: FiveWs.author rim: .participation[typeCode=AUT].role EHM: Utfärdande förskrivare
performer		0..1	Reference(Practitioner \| PractitionerRole \| Organization \| Patient \| Device \| RelatedPerson \| CareTeam)	There are no (further) constraints on this element Element id MedicationRequest.performer Short description Intended performer of administration Definition The specified desired performer of the medication treatment (e.g. the performer of the medication administration). Data type Reference(Practitioner \| PractitionerRole \| Organization \| Patient \| Device \| RelatedPerson \| CareTeam) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Request.performer w5: FiveWs.actor rim: .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
performerType	Σ	0..1	CodeableConcept	There are no (further) constraints on this element Element id MedicationRequest.performerType Short description Desired kind of performer of the medication administration Definition Indicates the type of performer of the administration of the medication. Comments If specified without indicating a performer, this indicates that the performer must be of the specified type. If specified with a performer then it indicates the requirements of the performer if the designated performer is not available. Data type CodeableConcept Binding Identifies the type of individual that is desired to administer the medication. ProcedurePerformerRoleCodes (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Request.performerType rim: .participation[typeCode=PRF].role[scoper.determinerCode=KIND].code
recorder		0..1	Reference(Practitioner \| PractitionerRole)	There are no (further) constraints on this element Element id MedicationRequest.recorder Short description Person who entered the request Definition The person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order. Data type Reference(Practitioner \| PractitionerRole) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings w5: FiveWs.who rim: .participation[typeCode=TRANS].role[classCode=ASSIGNED].code (HealthcareProviderType)
reasonCode	S	0..*	CodeableConceptBinding	Element id MedicationRequest.reasonCode Short description Reason for the treatment Definition The reason stated by the practitioner for ordering a medical product (behandlingsorsak). A code from "Nationell källa för ordinationsorsak" which is a code system that is defined by the Swedish National Board of Health and Welfare (Socialstyrelsen). The code system consists of SnomedCT codes for reasons. Each medical product has of a selection of valid SnomedCT reason codes. The reason shall also be expressed in a way that can be easily understood by the patient (behandlingsändamål). This should be entered in nllPatientTreatmentReason. If there is no available code that describes the reason, then the code "OTH" (Other) shall be used. In that case a text describing the reason must be provided in reasonCode.text. Comments _ Data type CodeableConcept Binding A coded concept indicating why the medication was ordered. http://electronichealth.se/fhir/ValueSet/nll-snomed-behandlingsorsak (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Request.reasonCode script10.6: Message/Body/NewRx/MedicationPrescribed/Diagnosis/Primary/Value w5: FiveWs.why[x] v2: ORC-16-Order Control Code Reason /RXE-27-Give Indication/RXO-20-Indication / RXD-21-Indication / RXG-22-Indication / RXA-19-Indication rim: reason.observation.reasonCode EHM: Behandlingsorsak
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.reasonCode.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.reasonCode.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
nlldataAbsentReason	S I	0..1	Extension(code)Binding	Element id MedicationRequest.reasonCode.extension:nlldataAbsentReason Short description masked Alternate names extensions, user content Definition Marks masked data, ie why data is missing. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension(code) Extension URL http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding data-absent-reason (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: ANY.nullFlavor
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.reasonCode.extension:nlldataAbsentReason.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..0	Extension	There are no (further) constraints on this element Element id MedicationRequest.reasonCode.extension:nlldataAbsentReason.extension Short description Extension Definition An Extension Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id MedicationRequest.reasonCode.extension:nlldataAbsentReason.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value http://hl7.org/fhir/StructureDefinition/data-absent-reason Mappings rim: N/A
value[x]		1..1	Binding	Element id MedicationRequest.reasonCode.extension:nlldataAbsentReason.value[x] Short description Masked Definition Value of extension - must be one of a constrained set of the data types (see [Extensibility](http:// hl7.org/fhir/extensibility.html) for a list). Binding Used to specify why the normally expected content of the data element is missing. DataAbsentReason (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
valueCode			code	There are no (further) constraints on this element Data type code
coding	S Σ	1..1	Coding	There are no (further) constraints on this element Element id MedicationRequest.reasonCode.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data type Coding Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.reasonCode.coding.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.reasonCode.coding.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
system	S Σ	0..1	uri	There are no (further) constraints on this element Element id MedicationRequest.reasonCode.coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	S Σ	0..1	string	There are no (further) constraints on this element Element id MedicationRequest.reasonCode.coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	code	There are no (further) constraints on this element Element id MedicationRequest.reasonCode.coding.code Short description Symbol in syntax defined by the system Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationRequest.reasonCode.coding.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id MedicationRequest.reasonCode.coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	S Σ	0..1	string	Element id MedicationRequest.reasonCode.text Short description Other reason Definition If no code could be chosen from "Nationell källa för ordinationsorsak" an other reason may be entered here. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments Maximum string length: 255 Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText EHM: Beskrivning annan behandlingsorsak
reasonReference		0..*	Reference(Condition \| Observation)	There are no (further) constraints on this element Element id MedicationRequest.reasonReference Short description Condition or observation that supports why the prescription is being written Definition Condition or observation that supports why the medication was ordered. Comments This is a reference to a condition or observation that is the reason for the medication order. If only a code exists, use reasonCode. Data type Reference(Condition \| Observation) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Request.reasonReference script10.6: no mapping w5: FiveWs.why[x] rim: reason.observation[code=ASSERTION].value
instantiatesCanonical	Σ	0..*	canonical()	There are no (further) constraints on this element Element id MedicationRequest.instantiatesCanonical Short description Instantiates FHIR protocol or definition Definition The URL pointing to a protocol, guideline, orderset, or other definition that is adhered to in whole or in part by this MedicationRequest. Data type canonical() Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Request.instantiates rim: .outboundRelationship[typeCode=DEFN].target
instantiatesUri	Σ	0..*	uri	There are no (further) constraints on this element Element id MedicationRequest.instantiatesUri Short description Instantiates external protocol or definition Definition The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this MedicationRequest. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .outboundRelationship[typeCode=DEFN].target
basedOn	Σ	0..*	Reference(CarePlan \| MedicationRequest \| ServiceRequest \| ImmunizationRecommendation)	There are no (further) constraints on this element Element id MedicationRequest.basedOn Short description What request fulfills Definition A plan or request that is fulfilled in whole or in part by this medication request. Data type Reference(CarePlan \| MedicationRequest \| ServiceRequest \| ImmunizationRecommendation) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Request.basedOn rim: .outboundRelationship[typeCode=FLFS].target[classCode=SBADM or PROC or PCPR or OBS, moodCode=RQO orPLAN or PRP]
groupIdentifier	Σ	0..1	Identifier	There are no (further) constraints on this element Element id MedicationRequest.groupIdentifier Short description Composite request this is part of Definition A shared identifier common to all requests that were authorized more or less simultaneously by a single author, representing the identifier of the requisition or prescription. Requirements Requests are linked either by a "basedOn" relationship (i.e. one request is fulfilling another) or by having a common requisition. Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation. Data type Identifier Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Request.groupIdentifier rim: .outboundRelationship(typeCode=COMP].target[classCode=SBADM, moodCode=INT].id
courseOfTherapyType		0..1	CodeableConcept	There are no (further) constraints on this element Element id MedicationRequest.courseOfTherapyType Short description Overall pattern of medication administration Definition The description of the overall patte3rn of the administration of the medication to the patient. Comments This attribute should not be confused with the protocol of the medication. Data type CodeableConcept Binding Identifies the overall pattern of medication administratio. medicationRequest Course of Therapy Codes (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: Act.code where classCode = LIST and moodCode = EVN
insurance		0..*	Reference(Coverage \| ClaimResponse)	There are no (further) constraints on this element Element id MedicationRequest.insurance Short description Associated insurance coverage Definition Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be required for delivering the requested service. Data type Reference(Coverage \| ClaimResponse) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Request.insurance rim: .outboundRelationship[typeCode=COVBY].target
note	S	0..4	NLLAnnotation	Element id MedicationRequest.note Short description Text node with attribution Definition Prescriptions in the Swedish National Medication List can contain 4 different kinds of notes: pre=Prescribers comment (Förskrivarens kommentar, read/write) pha=Pharmacists comment (Apotekets kommentar, read/write) not=Prescribers note (Notat förskrivare, read only, will be deprecated) dli=Delivery message (Leveransmeddelande, read only, will be deprecated) Comments For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible). Data type NLLAnnotation Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Request.note script10.6: Message/Body/NewRx/MedicationPrescribed/Note rim: .inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code="annotation"].value rim: n/a v2: N/A rim: Act EHM: Apotekets kommentar, Förskrivarens kommentar, Leveransmeddelande, Notat förskrivare
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.note.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	1..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.note.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
nllMedReqNoteType	S I	1..1	Extension(code)	Element id MedicationRequest.note.extension:nllMedReqNoteType Short description Type of note Alternate names extensions, user content Definition Optional Extension Element - found in all resources. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension(code) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLMedReqNoteType Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.note.extension:nllMedReqNoteType.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.note.extension:nllMedReqNoteType.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id MedicationRequest.note.extension:nllMedReqNoteType.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value http://electronichealth.se/fhir/StructureDefinition/NLLMedReqNoteType Mappings rim: N/A
value[x]	S	1..1	Binding	There are no (further) constraints on this element Element id MedicationRequest.note.extension:nllMedReqNoteType.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Binding medreq-note-types (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
valueCode			code	There are no (further) constraints on this element Data type code
author[x]	Σ	0..1		There are no (further) constraints on this element Element id MedicationRequest.note.author[x] Short description Individual responsible for the annotation Definition The individual responsible for making the annotation. Comments Organization is used when there's no need for specific attribution as to who made the comment. Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: N/A rim: Act.participant[typeCode=AUT].role
authorString			string	There are no (further) constraints on this element Data type string
authorReference			Reference(Practitioner \| Patient \| RelatedPerson \| Organization)	There are no (further) constraints on this element Data type Reference(Practitioner \| Patient \| RelatedPerson \| Organization)
time	Σ	0..1	dateTime	There are no (further) constraints on this element Element id MedicationRequest.note.time Short description When the annotation was made Definition Indicates when this particular annotation was made. Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: N/A rim: Act.effectiveTime
text	S Σ	1..1	markdown	Element id MedicationRequest.note.text Short description The annotation - text content (as markdown) Definition The text of the annotation in markdown format. Comments Maximum string length prescribers comment (Förskrivarens kommentar): 35 Maximum string length pharmacists comment (Apotekets kommentar): 512 Maximum string length prescribers note (Notat förskrivare): 255 Maximum string length delivery message (Leveransmeddelande): 35 Data type markdown Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: N/A rim: Act.text
dosageInstruction	S	0..*	NLLDosage	Element id MedicationRequest.dosageInstruction Short description How the medication should be taken Definition Mandatory for medications and technical spirit Comments There are examples where a medication request may include the option of an oral dose or an Intravenous or Intramuscular dose. For example, "Ondansetron 8mg orally or IV twice a day as needed for nausea" or "Compazine® (prochlorperazine) 5-10mg PO or 25mg PR bid prn nausea or vomiting". In these cases, two medication requests would be created that could be grouped together. The decision on which dose and route of administration to use is based on the patient's condition at the time the dose is needed. Data type NLLDosage Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Request.occurrence[x] rim: see dosageInstruction mapping rim: n/a rim: .outboundRelationship[typeCode=COMP].target[classCode=SBADM, moodCode=INT]
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
nllObservandumDose	S I	0..1	Extension(boolean)	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.extension:nllObservandumDose Short description Dose exceeds recommended dose Alternate names extensions, user content Definition Indicates that the prescriber has made a conscious choice where the dose exceeds what is recommended for the prescribed medication. Comments NB! The same value must be provided in this element on each sequence / subsequence. Data type Extension(boolean) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLObservandumDose Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A EHM: Obs. överstiger rekommenderad dos
nllAdministeringInstruction	S I	0..1	Extension(string)	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.extension:nllAdministeringInstruction Short description Patient oriented administration instructions Alternate names extensions, user content Definition Administration instructions put in terms that are comprehensible to the patient. This shall be generated from the structured administration information attributes. Comments Maximum string length: 512 <br> NB! The same value must be provided in this element on each sequence / subsequence. Data type Extension(string) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLAdministeringInstruction Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A EHM: Administreringsinstruktion
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.extension:nllAdministeringInstruction.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.extension:nllAdministeringInstruction.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.extension:nllAdministeringInstruction.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value http://electronichealth.se/fhir/StructureDefinition/NLLAdministeringInstruction Mappings rim: N/A
value[x]	S	0..1		Element id MedicationRequest.dosageInstruction.extension:nllAdministeringInstruction.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Maximum string length 512 Mappings rim: N/A EHM: Administreringsinstruktion
valueString			string	There are no (further) constraints on this element Data type string
nllMedicalDevice	S I	0..1	Extension(CodeableConcept)	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.extension:nllMedicalDevice Short description Medical device to use for administration. Alternate names extensions, user content Definition Medical device to use for administration. Requirements If there is no appropriate coded value, then the code OTH=Other should be used together with the free text element "text” Comments NB! The same value must be provided in this element on each sequence / subsequence. Data type Extension(CodeableConcept) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLMedicalDevice Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A EHM: Medicinteknisk produkt vid läkemedelsadministrering
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.extension:nllMedicalDevice.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.extension:nllMedicalDevice.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.extension:nllMedicalDevice.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value http://electronichealth.se/fhir/StructureDefinition/NLLMedicalDevice Mappings rim: N/A
value[x]	S	1..1		There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.extension:nllMedicalDevice.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
valueCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data type CodeableConcept
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.extension:nllMedicalDevice.value[x].id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.extension:nllMedicalDevice.value[x].extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
coding	S Σ	0..1	CodingBinding	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.extension:nllMedicalDevice.value[x].coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data type Coding Binding http://electronichealth.se/fhir/ValueSet/nll-snomed-medical-device (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.extension:nllMedicalDevice.value[x].coding.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.extension:nllMedicalDevice.value[x].coding.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
system	S Σ	0..1	uri	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.extension:nllMedicalDevice.value[x].coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	S Σ	0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.extension:nllMedicalDevice.value[x].coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	code	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.extension:nllMedicalDevice.value[x].coding.code Short description Symbol in syntax defined by the system Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.extension:nllMedicalDevice.value[x].coding.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.extension:nllMedicalDevice.value[x].coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	S Σ	0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.extension:nllMedicalDevice.value[x].text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments Maximum string length: 256 Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Maximum string length 256 Mappings v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText EHM: Beskrivning annan medicinteknisk produkt
nllSubSequence	S I	0..1	Extension(integer)	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.extension:nllSubSequence Short description Subsequence Alternate names extensions, user content Definition Indicates the order of subqeuences within a sequence. Requirements Only used in dosage type "tillfällesdosering”, using "timeOfDay" or "when" Comments The purpose of a subsequence is to provide a repeating mechanism within a sequence. Subsequences enable communication of irregular dosage schedules that should be repeated within a sequence. <br> NB! There are a number of elements that must contain the same values on each sequence and subsequence. For example the dose unit and dose rate unit, the site, route and method and the asNeeded-attribute. Data type Extension(integer) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLSubSequence Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A EHM: Subsekvens
nllDosageType	S I	0..1	Extension(code)	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.extension:nllDosageType Short description Dosage type Alternate names extensions, user content Definition Calculated by the Swedish eHealth Agency. The dosage type that matches the provided set of dosage data. Comments _ Data type Extension(code) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLDosageType Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A EHM: Doseringstyp
nllSiteQualifier	S I	0..1	Extension(CodeableConcept)	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.extension:nllSiteQualifier Short description More precise administration site Alternate names extensions, user content Definition Qualified adminsitration site is used when more exact information about the site is needed. Requirements To be used only when combinated with MedicationRequest.dosageInstruction.site.coding If there is no appropriate coded value, then the code OTH=Other must be used in combination the free text attribute "text". Comments NB! The same value must be provided in this element on each sequence / subsequence. Data type Extension(CodeableConcept) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLSiteQualifier Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A EHM: Precisering av administreringsställe
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.extension:nllSiteQualifier.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.extension:nllSiteQualifier.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.extension:nllSiteQualifier.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value http://electronichealth.se/fhir/StructureDefinition/NLLSiteQualifier Mappings rim: N/A
value[x]	S	1..1		There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.extension:nllSiteQualifier.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
valueCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data type CodeableConcept
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.extension:nllSiteQualifier.value[x].id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.extension:nllSiteQualifier.value[x].extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
coding	S Σ	1..1	CodingBinding	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.extension:nllSiteQualifier.value[x].coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data type Coding Binding http://electronichealth.se/fhir/ValueSet/nll-snomed-qualifier (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.extension:nllSiteQualifier.value[x].coding.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.extension:nllSiteQualifier.value[x].coding.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
system	S Σ	0..1	uri	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.extension:nllSiteQualifier.value[x].coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	S Σ	0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.extension:nllSiteQualifier.value[x].coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	code	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.extension:nllSiteQualifier.value[x].coding.code Short description Symbol in syntax defined by the system Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code EHM: Precisering av administreringsställe
display	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.extension:nllSiteQualifier.value[x].coding.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.extension:nllSiteQualifier.value[x].coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	S Σ	0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.extension:nllSiteQualifier.value[x].text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments Maximum string length: 256 Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Maximum string length 256 Mappings v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText EHM: Beskrivning annan precisering av administreringsställe
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers Definition May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: N/A
sequence	S Σ	1..1	integer	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.sequence Short description The order of the dosage instructions Definition Indicates the order in which the dosage instructions should be applied or interpreted. Requirements If the sequence number of multiple Dosages is the same, then it is implied that the instructions are to be treated as concurrent. If the sequence number is different, then the Dosages are intended to be sequential. Comments NB! There are a number of elements that must contain the same values on each sequence and subsequence. For example the dose unit and dose rate unit, the site, route and method and the asNeeded-attribute. Data type integer Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: TQ1-1 rim: .text EHM: Sekvens
text	S Σ	0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.text Short description Free text dosage Definition Free text dosage Requirements In the Swedish National Medication List there will be either a free text dosage or coded dosage instructions, never both. Comments Maximum string length: 512 Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Maximum string length 512 Mappings v2: RXO-6; RXE-21 rim: .text EHM: Fritextdosering
additionalInstruction	S Σ	0..1	CodeableConcept	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.additionalInstruction Short description Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Definition Supplemental instructions to the patient on how to take the medication (e.g. "with meals" or"take half to one hour before food") or warnings for the patient about the medication (e.g. "may cause drowsiness" or "avoid exposure of skin to direct sunlight or sunlamps"). Requirements In the Swedish National Medication List Additional instruction is written in free text. Comments NB! The same value must be provided in this element on each sequence / subsequence. Data type CodeableConcept Binding A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". SNOMEDCTAdditionalDosageInstructions (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: RXO-7 rim: .text
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.additionalInstruction.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.additionalInstruction.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.additionalInstruction.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data type Coding Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
text	S Σ	0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.additionalInstruction.text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements In the Swedish National Medication List Additional instruction is written in free text. Comments Maximum string length: 512 Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Maximum string length 512 Mappings v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText EHM: Annan instruktion
patientInstruction	S Σ	1..1	string	Element id MedicationRequest.dosageInstruction.patientInstruction Short description Patient oriented dosage instructions Definition Dosage instructions in terms that are understood by the patient. Comments Maximum string length: 512 <br> NB! The same value must be provided in this element on each sequence / subsequence. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Maximum string length 512 Mappings v2: RXO-7 rim: .text EHM: Doseringsinstruktion
timing	S Σ	0..1	Timing	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.timing Short description When medication should be administered Definition When medication should be administered. Requirements The timing schedule for giving the medication to the patient. This data type allows many different expressions. For example: "Every 8 hours"; "Three times a day"; "1/2 an hour before breakfast for 10 days from 23-Dec 2011:"; "15 Oct 2013, 17 Oct 2013 and 1 Nov 2013". Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period. Comments _ Data type Timing Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .effectiveTime
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.timing.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.timing.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.timing.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers Definition May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: N/A
event	Σ	0..*	dateTime	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.timing.event Short description When the event occurs Definition Identifies specific times when the event occurs. Requirements In a Medication Administration Record, for instance, you need to take a general specification, and turn it into a precise specification. Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: QLIST<TS>
repeat	S Σ I	0..1	Element	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.timing.repeat Short description When the event is to occur Definition A set of rules that describe when the event is scheduled. Requirements Many timing schedules are determined by regular repetitions. Data type Element Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` tim-1: if there's a duration, there needs to be duration units `duration.empty() or durationUnit.exists()` tim-2: if there's a period, there needs to be period units `period.empty() or periodUnit.exists()` tim-4: duration SHALL be a non-negative value `duration.exists() implies duration >= 0` tim-5: period SHALL be a non-negative value `period.exists() implies period >= 0` tim-6: If there's a periodMax, there must be a period `periodMax.empty() or period.exists()` tim-7: If there's a durationMax, there must be a duration `durationMax.empty() or duration.exists()` tim-8: If there's a countMax, there must be a count `countMax.empty() or count.exists()` tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) `offset.empty() or (when.exists() and ((when in ('C' \| 'CM' \| 'CD' \| 'CV')).not()))` tim-10: If there's a timeOfDay, there cannot be a when, or vice versa `timeOfDay.empty() or when.empty()` Mappings rim: Implies PIVL or EIVL
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.timing.repeat.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.timing.repeat.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
nllSubSequenceDuration	S I	0..1	Extension(Quantity)	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.timing.repeat.extension:nllSubSequenceDuration Short description SubSequence duration Alternate names extensions, user content Definition The duration of the subsequence. This can only be used if there is a subsequence within the sequence. The length of a subsequence is always in the form of a quantity (never a range) and it can only be expressed in days, not hours, weeks or months. Requirements Used for the dosage type "tillfällesdosering". Comments _ Data type Extension(Quantity) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLSubSequenceDuration Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A EHM: Längd doseringsdelsteg
bounds[x]	S Σ	0..1		There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.timing.repeat.bounds[x] Short description Length/Range of lengths Definition Either a duration for the length of the timing schedule, a range of possible length, or outer bounds for start and/or end limits of the timing schedule. Sliced: Unordered, Open, by $this(Type) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: IVL(TS) used in a QSI
boundsDuration	S Σ	0..1	Duration	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration Short description Sequence length Definition A duration for the length of the timing schedule. Data type Duration Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: IVL(TS) used in a QSI EHM: Längd doseringssteg
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
value	S Σ	1..1	decimal	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration.value Short description Numerical value (with implicit precision) Definition The value of the measured amount. The value includes an implicit precision in the presentation of the value. Requirements Precision is handled implicitly in almost all cases of measurement. Comments The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). Data type decimal Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: SN.2 / CQ - N/A rim: PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value EHM: Längd doseringssteg
comparator	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration.comparator Short description < \| <= \| >= \| > - how to understand the value Definition How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. Requirements Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Meaning when missing If there is no comparator, then there is no modification of the value Data type code Binding How the Quantity should be understood and represented. QuantityComparator (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: SN.1 / CQ.1 rim: IVL properties
unit	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration.unit Short description Unit representation Definition A human-readable form of the unit. Requirements There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: (see OBX.6 etc.) / CQ.2 rim: PQ.unit
system	S Σ I	0..1	uri	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration.system Short description System that defines coded unit form Definition The identification of the system that provides the coded form of the unit. Requirements Need to know the system that defines the coded form of the unit. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: (see OBX.6 etc.) / CQ.2 rim: CO.codeSystem, PQ.translation.codeSystem
code	S Σ	1..1	codeBindingFixed Value	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration.code Short description Coded form of the unit Definition A computer processable form of the unit in some unit representation system. Requirements Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. Comments The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. Data type code Binding sequence-length-units (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed value d Mappings v2: (see OBX.6 etc.) / CQ.2 rim: PQ.code, MO.currency, PQ.translation.code EHM: Enhet längd doseringssteg
boundsRange	S Σ	0..1	Range	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange Short description Range of lengths Definition A range of possible length. Data type Range Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: IVL(TS) used in a QSI EHM: Längd doseringssteg min/max
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
low	S Σ	1..1	SimpleQuantity	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.low Short description Low limit Definition The low limit. The boundary is inclusive. Comments If the low element is missing, the low boundary is not known. Data type SimpleQuantity Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: NR.1 rim: ./low EHM: Min längd doseringssteg
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.low.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.low.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
value	S Σ	1..1	decimal	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.low.value Short description Numerical value (with implicit precision) Definition The value of the measured amount. The value includes an implicit precision in the presentation of the value. Requirements Precision is handled implicitly in almost all cases of measurement. Comments The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). Data type decimal Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: SN.2 / CQ - N/A rim: PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value EHM: Min längd doseringssteg
comparator	Σ ?!	0..0	codeBinding	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.low.comparator Short description < \| <= \| >= \| > - how to understand the value Definition Not allowed to be used in this context Requirements Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Meaning when missing If there is no comparator, then there is no modification of the value Data type code Binding How the Quantity should be understood and represented. QuantityComparator (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: SN.1 / CQ.1 rim: IVL properties
unit	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.low.unit Short description Unit representation Definition A human-readable form of the unit. Requirements There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: (see OBX.6 etc.) / CQ.2 rim: PQ.unit
system	S Σ I	0..1	uri	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.low.system Short description System that defines coded unit form Definition The identification of the system that provides the coded form of the unit. Requirements Need to know the system that defines the coded form of the unit. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: (see OBX.6 etc.) / CQ.2 rim: CO.codeSystem, PQ.translation.codeSystem
code	S Σ	1..1	codeBindingFixed Value	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.low.code Short description Coded form of the unit Definition A computer processable form of the unit in some unit representation system. Requirements Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. Comments The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. Data type code Binding sequence-length-units (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed value d Mappings v2: (see OBX.6 etc.) / CQ.2 rim: PQ.code, MO.currency, PQ.translation.code EHM: Enhet min längd doseringssteg
high	S Σ	1..1	SimpleQuantity	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.high Short description High limit Definition The high limit. The boundary is inclusive. Comments If the high element is missing, the high boundary is not known. Data type SimpleQuantity Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: NR.2 rim: ./high EHM: Max längd doseringssteg
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.high.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.high.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
value	S Σ	1..1	decimal	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.high.value Short description Numerical value (with implicit precision) Definition The value of the measured amount. The value includes an implicit precision in the presentation of the value. Requirements Precision is handled implicitly in almost all cases of measurement. Comments The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). Data type decimal Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: SN.2 / CQ - N/A rim: PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value EHM: Max längd doseringssteg
comparator	Σ ?!	0..0	codeBinding	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.high.comparator Short description < \| <= \| >= \| > - how to understand the value Definition Not allowed to be used in this context Requirements Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Meaning when missing If there is no comparator, then there is no modification of the value Data type code Binding How the Quantity should be understood and represented. QuantityComparator (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: SN.1 / CQ.1 rim: IVL properties
unit	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.high.unit Short description Unit representation Definition A human-readable form of the unit. Requirements There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: (see OBX.6 etc.) / CQ.2 rim: PQ.unit
system	S Σ I	0..1	uri	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.high.system Short description System that defines coded unit form Definition The identification of the system that provides the coded form of the unit. Requirements Need to know the system that defines the coded form of the unit. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: (see OBX.6 etc.) / CQ.2 rim: CO.codeSystem, PQ.translation.codeSystem
code	S Σ	1..1	codeBindingFixed Value	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.high.code Short description Coded form of the unit Definition A computer processable form of the unit in some unit representation system. Requirements Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. Comments The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. Data type code Binding sequence-length-units (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed value d Mappings v2: (see OBX.6 etc.) / CQ.2 rim: PQ.code, MO.currency, PQ.translation.code EHM: Enhet max längd doseringssteg
count	S Σ	0..1	positiveInt	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.timing.repeat.count Short description Single dose Definition A total count of the desired number of repetitions across the duration of the entire timing specification. Requirements In the Swedish National Medication List count is used for describing single dosages that occur one (1) time. The only value allowed is count=1 Comments If you have both bounds and count, then this should be understood as within the bounds period, until count times happens. Data type positiveInt Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: PIVL.count EHM: Antal upprepningar
countMax	Σ	0..1	positiveInt	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.timing.repeat.countMax Short description Maximum number of times to repeat Definition If present, indicates that the count is a range - so to perform the action between [count] and [countMax] times. Data type positiveInt Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: PIVL.count
duration	S Σ	0..1	decimal	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.timing.repeat.duration Short description Duration of the administration Definition Duration of the administration of the medication Requirements Comments Duration is handled with a maximum precision of 4 decimals. Corresponding regex: (0\|[1-9][0-9])(.[0-9][0-9][0-9][0-9]) Data type* decimal Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: PIVL.phase EHM: Administreringstillfällets varaktighet
durationMax	Σ	0..1	decimal	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.timing.repeat.durationMax Short description How long when it happens (Max) Definition If present, indicates that the duration is a range - so to perform the action between [duration] and [durationMax] time length. Requirements Some activities are not instantaneous and need to be maintained for a period of time. Comments For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise). Data type decimal Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: PIVL.phase
durationUnit	S Σ	0..1	codeBinding	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.timing.repeat.durationUnit Short description min \| h - unit of time (UCUM) Definition The units of time for the duration, in UCUM units. Data type code Binding A unit of time (units from UCUM). dose-duration-units (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: PIVL.phase.unit EHM: Enhet för administreringstillfällets varaktighet
frequency	S Σ	0..1	positiveInt	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.timing.repeat.frequency Short description Event occurs frequency times per period Definition The number of times to repeat the action within the specified period. If frequencyMax is present, this element indicates the lower bound of the allowed range of the frequency. Meaning when missing If no frequency is stated, the assumption is that the event occurs once per period, but systems SHOULD always be specific about this Data type positiveInt Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: PIVL.phase EHM: Antal administreringar
frequencyMax	S Σ	0..1	positiveInt	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.timing.repeat.frequencyMax Short description Event occurs up to frequencyMax times per period Definition If present, indicates that the frequency is a range - so to repeat between [frequency] and [frequencyMax] times within the period or period range. Data type positiveInt Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: PIVL.phase EHM: Antal administreringar max
period	S Σ	0..1	decimal	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.timing.repeat.period Short description Event occurs frequency times per period Definition Indicates the duration of time over which repetitions are to occur; e.g. to express "3 times per day", 3 would be the frequency and "1 day" would be the period. If periodMax is present, this element indicates the lower bound of the allowed range of the period length. Data type decimal Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: PIVL.phase EHM: Period
periodMax	S Σ	0..1	decimal	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.timing.repeat.periodMax Short description Upper limit of period (3-4 hours) Definition If present, indicates that the period is a range from [period] to [periodMax], allowing expressing concepts such as "do this once every 3-5 days. Data type decimal Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: PIVL.phase EHM: Period max
periodUnit	S Σ	0..1	codeBinding	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.timing.repeat.periodUnit Short description h \| d - unit of time (UCUM) Definition The units of time for the period in UCUM units. Data type code Binding A unit of time (units from UCUM). dose-period-units (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: PIVL.phase.unit EHM: Periodenhet
dayOfWeek	S Σ	0..*	codeBinding	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek Short description mon \| tue \| wed \| thu \| fri \| sat \| sun Definition If one or more days of week is provided, then the action happens only on the specified day(s). Comments If no days are specified, the action is assumed to happen every day as otherwise specified. The elements frequency and period cannot be used as well as dayOfWeek. Data type code Binding DaysOfWeek (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a EHM: Veckodag
timeOfDay	S Σ	0..*	time	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.timing.repeat.timeOfDay Short description Time of day for action Definition Specified time of day for action to take place. Must currently be expressed on the hour, i.e. 11:00 or 15:00. This may be changed after the transition period (övergångs-perioden) so that half hours, i.e. 11:30, are allowed, as well. When time of day is specified, it is inferred that the action happens every day (as filtered by dayofWeek) on the specified times. Requirements Used for the dosage type "tillfällesdosering". The elements “when, frequency and period” cannot be used with the element “timeOfDay” simultaneously. Comments When time of day is specified, it is inferred that the action happens every day (as filtered by dayofWeek) on the specified times. The elements when, frequency and period cannot be used as well as timeOfDay. Data type time Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a EHM: Klockslag
when	S Σ	0..*	codeBinding	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.timing.repeat.when Short description Code for time period of occurrence Definition An approximate time period during the day, potentially linked to an event of daily living that indicates when the action should occur. Requirements Timings are frequently determined by occurrences such as waking, eating and sleep. Comments _ Data type code Binding Real world event relating to the schedule. nll-event-timing (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: EIVL.event EHM: Period på dygnet
offset	Σ	0..1	unsignedInt	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.timing.repeat.offset Short description Minutes from event (before or after) Definition The number of minutes from the event. If the event code does not indicate whether the minutes is before or after the event, then the offset is assumed to be after the event. Data type unsignedInt Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: EIVL.offset
code	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.timing.code Short description BID \| TID \| QID \| AM \| PM \| QD \| QOD \| + Definition A code for the timing schedule (or just text in code.text). Some codes such as BID are ubiquitous, but many institutions define their own additional codes. If a code is provided, the code is understood to be a complete statement of whatever is specified in the structured timing data, and either the code or the data may be used to interpret the Timing, with the exception that .repeat.bounds still applies over the code (and is not contained in the code). Comments BID etc. are defined as 'at institutionally specified times'. For example, an institution may choose that BID is "always at 7am and 6pm". If it is inappropriate for this choice to be made, the code BID should not be used. Instead, a distinct organization-specific code should be used in place of the HL7-defined BID code and/or a structured representation should be used (in this case, specifying the two event times). Data type CodeableConcept Binding Code for a known / defined timing pattern. TimingAbbreviation (preferred) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: QSC.code
asNeeded[x]	S Σ	0..1		There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.asNeeded[x] Short description Take "as needed" Definition Indicates that the medication only should be taken when needed. Comments NB! The same value must be provided in this element on each sequence / subsequence. Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: TQ1-9 rim: .outboundRelationship[typeCode=PRCN].target[classCode=OBS, moodCode=EVN, code="as needed"].value=boolean or codable concept EHM: Vid behov
asNeededBoolean			boolean	There are no (further) constraints on this element Data type boolean
site	S Σ	0..1	CodeableConcept	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.site Short description Site of administration Definition Site of administration. Requirements A coded specification of the anatomic site where the medication first enters the body. If there is no appropriate coded value, then the code OTH=Other should be used together with the free text attribute "text". Comments NB! The same value must be provided in this element on each sequence / subsequence. Data type CodeableConcept Binding A coded concept describing the site location the medicine enters into or onto the body. SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: RXR-2 rim: .approachSiteCode EHM: Administreringsställe
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.site.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.site.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
coding	S Σ	1..1	CodingBinding	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.site.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments _ Data type Coding Binding Snomed CT codes for administration site, as stipulated by NLL (terminology server). http://electronichealth.se/fhir/ValueSet/nll-snomed-site (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.site.coding.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.site.coding.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
system	S Σ	0..1	uri	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.site.coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	S Σ	0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.site.coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	code	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.site.coding.code Short description Symbol in syntax defined by the system Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.site.coding.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.site.coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	S Σ	0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.site.text Short description Plain text representation of the concept Definition A human language representation of the administration site. Used when no specific code can describe the site and the code 'OTH' has been selected. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments Maximum string length: 256 Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText EHM: Beskrivning annat administreringsställe
route	S Σ	0..1	CodeableConcept	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.route Short description How the medication should enter the body Definition How the medication should enter the body. Requirements A code specifying the route or physiological path of administration of a therapeutic agent into or onto a patient's body. If there is no appropriate coded value, then the code OTH=Other must be used together with the free text attribute "text". Comments NB! The same value must be provided in this element on each sequence / subsequence. Data type CodeableConcept Binding A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. SNOMEDCTRouteCodes (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: RXR-1 rim: .routeCode EHM: Administreringsväg
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.route.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.route.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
coding	S Σ	1..1	CodingBinding	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.route.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments _ Data type Coding Binding Snomed CT codes for administration route, as stipulated by NLL http://electronichealth.se/fhir/ValueSet/nll-snomed-route (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.route.coding.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.route.coding.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
system	S Σ	0..1	uri	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.route.coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	S Σ	0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.route.coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	code	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.route.coding.code Short description Symbol in syntax defined by the system Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.route.coding.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.route.coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	S Σ	0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.route.text Short description Plain text representation of the concept Definition A human language representation of the administration route. Used when no specific code can describe the route and the code 'OTH' has been selected. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments Maximum string length: 256 Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Maximum string length 256 Mappings v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText EHM: Beskrivning annan administreringsväg
method	S Σ	0..1	CodeableConcept	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.method Short description Method used for administering the medication Definition Method used for administering the medication. Requirements A coded value indicating the method by which the medication is introduced into or onto the body. If there is no appropriate coded value, then the code OTH=Other should be used together with the free text attribute "text". Comments NB! The same value must be provided in this element on each sequence / subsequence. Data type CodeableConcept Binding A coded concept describing the technique by which the medicine is administered. SNOMEDCTAdministrationMethodCodes (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: RXR-4 rim: .doseQuantity EHM: Administreringsmetod
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.method.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.method.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
coding	S Σ	1..1	CodingBinding	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.method.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments _ Data type Coding Binding Snomed CT codes for administration method, as stipulated by NLL (terminology server). http://electronichealth.se/fhir/ValueSet/nll-snomed-method (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.method.coding.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.method.coding.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
system	S Σ	0..1	uri	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.method.coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	S Σ	0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.method.coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	code	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.method.coding.code Short description Symbol in syntax defined by the system Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.method.coding.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.method.coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	S Σ	0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.method.text Short description Plain text representation of the concept Definition A human language representation of the administration method. Used when no specific code can describe the method and the code 'OTH' has been selected. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments Maximum string length: 256 Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Maximum string length 256 Mappings v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText EHM: Beskrivning annan administreringsmetod
doseAndRate	S Σ	0..1	Element	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.doseAndRate Short description Amount of medication administered Definition The amount of medication administered. Data type Element Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: TQ1-2
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.doseAndRate.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.doseAndRate.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
type	Σ	0..1	CodeableConcept	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.doseAndRate.type Short description The kind of dose or rate specified Definition The kind of dose or rate specified, for example, ordered or calculated. Requirements If the type is not populated, assume to be "ordered". Data type CodeableConcept Binding The kind of dose or rate specified. DoseAndRateType (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: RXO-21; RXE-23
dose[x]	S Σ	0..1	Binding	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.doseAndRate.dose[x] Short description Amount of medication per dose Definition Amount of medication per dose. Requirements The amount of therapeutic or other substance given at one administration event. Comments _ Sliced: Unordered, Open, by $this(Type) Binding nll-ucum-unit (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: RXO-2, RXE-3 rim: .doseQuantity
doseRange	S Σ	0..1	Range	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange Short description Amount of medication per dose Definition Amount of medication per dose. Requirements The amount of therapeutic or other substance given at one administration event. Comments Note that this specifies the quantity of the specified medication, not the quantity for each active ingredient(s). Each ingredient amount can be communicated in the Medication resource. For example, if one wants to communicate that a tablet was 375 mg, where the dose was one tablet, you can use the Medication resource to document that the tablet was comprised of 375 mg of drug XYZ. Alternatively if the dose was 375 mg, then you may only need to use the Medication resource to indicate this was a tablet. If the example were an IV such as dopamine and you wanted to communicate that 400mg of dopamine was mixed in 500 ml of some IV solution, then this would all be communicated in the Medication resource. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule e.g. 500 ml in dose, with timing used to convey that this should be done over 4 hours. Data type Range Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: RXO-2, RXE-3 rim: .doseQuantity
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
low	S Σ	1..1	SimpleQuantity	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.low Short description Low limit Definition The low limit. The boundary is inclusive. Comments If the low element is missing, the low boundary is not known. Data type SimpleQuantity Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: NR.1 rim: ./low EHM: Dos min
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.low.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.low.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
value	S Σ	1..1	decimal	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.low.value Short description Dose range low value Definition Dose range low value Requirements Comments Dose range low value is handled with a maximum precision of 4 decimals. Corresponding regex: (0\|[1-9][0-9])(.[0-9][0-9][0-9][0-9]) Data type* decimal Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: SN.2 / CQ - N/A rim: PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value EHM: Dos min
comparator	Σ ?!	0..0	codeBinding	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.low.comparator Short description < \| <= \| >= \| > - how to understand the value Definition Not allowed to be used in this context Requirements Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Meaning when missing If there is no comparator, then there is no modification of the value Data type code Binding How the Quantity should be understood and represented. QuantityComparator (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: SN.1 / CQ.1 rim: IVL properties
unit	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.low.unit Short description Unit representation Definition A human-readable form of the unit. Requirements There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: (see OBX.6 etc.) / CQ.2 rim: PQ.unit
system	S Σ I	0..1	uri	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.low.system Short description System that defines coded unit form Definition The identification of the system that provides the coded form of the unit. Requirements Need to know the system that defines the coded form of the unit. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: (see OBX.6 etc.) / CQ.2 rim: CO.codeSystem, PQ.translation.codeSystem
code	S Σ	1..1	code	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.low.code Short description Coded form of the unit Definition A computer processable form of the unit in some unit representation system. Requirements Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. Comments The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: (see OBX.6 etc.) / CQ.2 rim: PQ.code, MO.currency, PQ.translation.code EHM: Dosenhet min
high	S Σ	1..1	SimpleQuantity	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.high Short description High limit Definition The high limit. The boundary is inclusive. Comments If the high element is missing, the high boundary is not known. Data type SimpleQuantity Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: NR.2 rim: ./high EHM: Dos max
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.high.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.high.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
value	S Σ	1..1	decimal	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.high.value Short description Dose range high value Definition Dose range high value Requirements Comments Dose range high value is handled with a maximum precision of 4 decimals. Corresponding regex: (0\|[1-9][0-9])(.[0-9][0-9][0-9][0-9]) Data type* decimal Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: SN.2 / CQ - N/A rim: PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value EHM: Dos max
comparator	Σ ?!	0..0	codeBinding	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.high.comparator Short description < \| <= \| >= \| > - how to understand the value Definition Not allowed to be used in this context Requirements Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Meaning when missing If there is no comparator, then there is no modification of the value Data type code Binding How the Quantity should be understood and represented. QuantityComparator (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: SN.1 / CQ.1 rim: IVL properties
unit	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.high.unit Short description Unit representation Definition A human-readable form of the unit. Requirements There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: (see OBX.6 etc.) / CQ.2 rim: PQ.unit
system	S Σ I	0..1	uri	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.high.system Short description System that defines coded unit form Definition The identification of the system that provides the coded form of the unit. Requirements Need to know the system that defines the coded form of the unit. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: (see OBX.6 etc.) / CQ.2 rim: CO.codeSystem, PQ.translation.codeSystem
code	S Σ	1..1	code	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.high.code Short description Coded form of the unit Definition A computer processable form of the unit in some unit representation system. Requirements Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. Comments The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: (see OBX.6 etc.) / CQ.2 rim: PQ.code, MO.currency, PQ.translation.code EHM: Dosenhet max
doseQuantity	S Σ	0..1	SimpleQuantity	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity Short description Amount of medication per dose Definition Amount of medication per dose. Requirements The amount of therapeutic or other substance given at one administration event. Comments Note that this specifies the quantity of the specified medication, not the quantity for each active ingredient(s). Each ingredient amount can be communicated in the Medication resource. For example, if one wants to communicate that a tablet was 375 mg, where the dose was one tablet, you can use the Medication resource to document that the tablet was comprised of 375 mg of drug XYZ. Alternatively if the dose was 375 mg, then you may only need to use the Medication resource to indicate this was a tablet. If the example were an IV such as dopamine and you wanted to communicate that 400mg of dopamine was mixed in 500 ml of some IV solution, then this would all be communicated in the Medication resource. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule e.g. 500 ml in dose, with timing used to convey that this should be done over 4 hours. Data type SimpleQuantity Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: RXO-2, RXE-3 rim: .doseQuantity
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
value	S Σ	0..1	decimal	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity.value Short description Dose quantity value Definition Dose quantity value. Requirements Comments Dose quantity value is handled with a maximum precision of 4 decimals. Corresponding regex: (0\|[1-9][0-9])(.[0-9][0-9][0-9][0-9]) Data type* decimal Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: SN.2 / CQ - N/A rim: PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value EHM: Dos
comparator	Σ ?!	0..0	codeBinding	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity.comparator Short description < \| <= \| >= \| > - how to understand the value Definition Not allowed to be used in this context Requirements Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Meaning when missing If there is no comparator, then there is no modification of the value Data type code Binding How the Quantity should be understood and represented. QuantityComparator (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: SN.1 / CQ.1 rim: IVL properties
unit	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity.unit Short description Unit representation Definition A human-readable form of the unit. Requirements There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: (see OBX.6 etc.) / CQ.2 rim: PQ.unit
system	S Σ I	0..1	uri	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity.system Short description System that defines coded unit form Definition The identification of the system that provides the coded form of the unit. Requirements Need to know the system that defines the coded form of the unit. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: (see OBX.6 etc.) / CQ.2 rim: CO.codeSystem, PQ.translation.codeSystem
code	S Σ	0..1	code	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity.code Short description Coded form of the unit Definition A computer processable form of the unit in some unit representation system. Requirements Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. Comments The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: (see OBX.6 etc.) / CQ.2 rim: PQ.code, MO.currency, PQ.translation.code EHM: Dosenhet
rate[x]	S Σ	0..1	Binding	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.doseAndRate.rate[x] Short description Amount of medication per unit of time Definition Amount of medication per unit of time. Requirements _ Comments _ Binding nll-ucum-rate-unit (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: RXE22, RXE23, RXE-24 rim: .rateQuantity EHM: Doseringshastighet
rateQuantity			SimpleQuantity	There are no (further) constraints on this element Data type SimpleQuantity
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.doseAndRate.rate[x].id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.doseAndRate.rate[x].extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
value	S Σ	0..1	decimal	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.doseAndRate.rate[x].value Short description Rate value Definition Rate value Requirements Comments Rate value is handled with a maximum precision of 4 decimals. Corresponding regex: (0\|[1-9][0-9])(.[0-9][0-9][0-9][0-9]) Data type* decimal Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: SN.2 / CQ - N/A rim: PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value EHM: Doseringshastighet
comparator	Σ ?!	0..0	codeBinding	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.doseAndRate.rate[x].comparator Short description < \| <= \| >= \| > - how to understand the value Definition Not allowed to be used in this context Requirements Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Meaning when missing If there is no comparator, then there is no modification of the value Data type code Binding How the Quantity should be understood and represented. QuantityComparator (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: SN.1 / CQ.1 rim: IVL properties
unit	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.doseAndRate.rate[x].unit Short description Unit representation Definition A human-readable form of the unit. Requirements There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: (see OBX.6 etc.) / CQ.2 rim: PQ.unit
system	S Σ I	0..1	uri	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.doseAndRate.rate[x].system Short description System that defines coded unit form Definition The identification of the system that provides the coded form of the unit. Requirements Need to know the system that defines the coded form of the unit. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: (see OBX.6 etc.) / CQ.2 rim: CO.codeSystem, PQ.translation.codeSystem
code	S Σ	1..1	code	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.doseAndRate.rate[x].code Short description Coded form of the unit Definition A computer processable form of the unit in some unit representation system. Requirements Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. Comments NB! The same value must be provided in this element on each sequence / subsequence. Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: (see OBX.6 etc.) / CQ.2 rim: PQ.code, MO.currency, PQ.translation.code EHM: Doseringshastighetsenhet
maxDosePerPeriod	S Σ	0..1	Ratio	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.maxDosePerPeriod Short description Upper limit on medication per day Definition Upper limit on medication per day. Requirements The maximum total quantity of a therapeutic substance that may be administered to a subject over the period of time. For example, 1000mg in 24 hours. Comments NB! The same value must be provided in this element on each sequence / subsequence. Data type Ratio Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: RXO-23, RXE-19 rim: .maxDoseQuantity EHM: Maxdos
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.maxDosePerPeriod.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.maxDosePerPeriod.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
numerator	S Σ	0..1	QuantityBinding	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.maxDosePerPeriod.numerator Short description Numerator value Definition The value of the numerator. Data type Quantity Binding nll-ucum-unit (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .numerator EHM: Maxdos
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.maxDosePerPeriod.numerator.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.maxDosePerPeriod.numerator.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
value	S Σ	0..1	decimal	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.maxDosePerPeriod.numerator.value Short description Max dose therapeutic substance value Definition Max dose therapeutic substance value Requirements Comments NB! If maxDosePerPeriod contains a value, it must be > 0 (greater than zero); i.e 0 and negative numbers are not allowed. Max dose therapeutic substance value is handled with a maximum precision of 4 decimals. Corresponing regex: ^(?!0[.,]0$\|[.,]0$\|0$)\d+[,.]?\d{0,4}$ Data type decimal Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: SN.2 / CQ - N/A rim: PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value EHM: Maxdos
comparator	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.maxDosePerPeriod.numerator.comparator Short description < \| <= \| >= \| > - how to understand the value Definition How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. Requirements Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Meaning when missing If there is no comparator, then there is no modification of the value Data type code Binding How the Quantity should be understood and represented. QuantityComparator (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: SN.1 / CQ.1 rim: IVL properties
unit	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.maxDosePerPeriod.numerator.unit Short description Unit representation Definition A human-readable form of the unit. Requirements There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: (see OBX.6 etc.) / CQ.2 rim: PQ.unit
system	S Σ I	0..1	uri	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.maxDosePerPeriod.numerator.system Short description System that defines coded unit form Definition The identification of the system that provides the coded form of the unit. Requirements Need to know the system that defines the coded form of the unit. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: (see OBX.6 etc.) / CQ.2 rim: CO.codeSystem, PQ.translation.codeSystem
code	S Σ	1..1	code	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.maxDosePerPeriod.numerator.code Short description Coded form of the unit Definition A computer processable form of the unit in some unit representation system. Requirements Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. Comments The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: (see OBX.6 etc.) / CQ.2 rim: PQ.code, MO.currency, PQ.translation.code EHM: Maxdosenhet
denominator	S Σ	0..1	QuantityFixed Value	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.maxDosePerPeriod.denominator Short description Denominator value Definition The value of the denominator. Data type Quantity Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed value { "value": 1, "system": "http://unitsofmeasure.org", "code": "d" } Mappings rim: .denominator EHM: Maxdosperiod
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.maxDosePerPeriod.denominator.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.maxDosePerPeriod.denominator.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
value	S Σ	0..1	decimalFixed Value	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.maxDosePerPeriod.denominator.value Short description Numerical value (with implicit precision) Definition The value of the measured amount. The value includes an implicit precision in the presentation of the value. Requirements Precision is handled implicitly in almost all cases of measurement. Comments The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). Data type decimal Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed value 1 Mappings v2: SN.2 / CQ - N/A rim: PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value EHM: Maxdosperiod
comparator	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.maxDosePerPeriod.denominator.comparator Short description < \| <= \| >= \| > - how to understand the value Definition How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. Requirements Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Meaning when missing If there is no comparator, then there is no modification of the value Data type code Binding How the Quantity should be understood and represented. QuantityComparator (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: SN.1 / CQ.1 rim: IVL properties
unit	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.maxDosePerPeriod.denominator.unit Short description Unit representation Definition A human-readable form of the unit. Requirements There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: (see OBX.6 etc.) / CQ.2 rim: PQ.unit
system	S Σ I	0..1	uriFixed Value	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.maxDosePerPeriod.denominator.system Short description System that defines coded unit form Definition The identification of the system that provides the coded form of the unit. Requirements Need to know the system that defines the coded form of the unit. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed value http://unitsofmeasure.org Mappings v2: (see OBX.6 etc.) / CQ.2 rim: CO.codeSystem, PQ.translation.codeSystem
code	S Σ	0..1	codeFixed Value	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.maxDosePerPeriod.denominator.code Short description Coded form of the unit Definition A computer processable form of the unit in some unit representation system. Requirements Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. Comments The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed value d Mappings v2: (see OBX.6 etc.) / CQ.2 rim: PQ.code, MO.currency, PQ.translation.code EHM: Maxdosperiodenhet
maxDosePerAdministration	Σ	0..1	SimpleQuantity	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.maxDosePerAdministration Short description Upper limit on medication per administration Definition Upper limit on medication per administration. Requirements The maximum total quantity of a therapeutic substance that may be administered to a subject per administration. Comments This is intended for use as an adjunct to the dosage when there is an upper cap. For example, a body surface area related dose with a maximum amount, such as 1.5 mg/m2 (maximum 2 mg) IV over 5 – 10 minutes would have doseQuantity of 1.5 mg/m2 and maxDosePerAdministration of 2 mg. Data type SimpleQuantity Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: not supported
maxDosePerLifetime	Σ	0..1	SimpleQuantity	There are no (further) constraints on this element Element id MedicationRequest.dosageInstruction.maxDosePerLifetime Short description Upper limit on medication per lifetime of the patient Definition Upper limit on medication per lifetime of the patient. Requirements The maximum total quantity of a therapeutic substance that may be administered per lifetime of the subject. Data type SimpleQuantity Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: not supported
dispenseRequest	S	1..1	BackboneElement	Element id MedicationRequest.dispenseRequest Short description Medication supply authorization Definition Indicates the specific details for the dispense or medication supply part of a medication request (also known as a Medication Prescription or Medication Order). Note that this information is not always sent with the order. There may be in some settings (e.g. hospitals) institutional or system support for completing the dispense details in the pharmacy department. Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings script10.6: Message/Body/NewRx/MedicationPrescribed/ExpirationDate rim: component.supplyEvent EHM: Expedieringsdetaljer
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	3..*	Extension	Element id MedicationRequest.dispenseRequest.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
nllNumberOfPackagesPrescribed	S I	0..1	Extension(positiveInt)	Element id MedicationRequest.dispenseRequest.extension:nllNumberOfPackagesPrescribed Short description Number of packages prescribed per dispense Alternate names extensions, user content Definition The number of packages prescribed per dispense. Not used for dose dispensed prescriptions. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension(positiveInt) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLNumberOfPackagesPrescribed Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A EHM: Antal förpackningar per uttag
nllDosePackaging	S I	1..1	Extension(boolean)	Element id MedicationRequest.dispenseRequest.extension:nllDosePackaging Short description Dose dispensed prescription Alternate names extensions, user content Definition Indicates if the prescription should be dose dispensed. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension(boolean) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLDosePackaging Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A EHM: Dosdispensering
nllPrescriptionCommunicableDiseasesAct	S I	0..1	Extension(boolean)	Element id MedicationRequest.dispenseRequest.extension:nllPrescriptionCommunicableDiseasesAct Short description Prescription according to the Communicable Diseases Act Alternate names extensions, user content Definition Indicates of the prescription is created according to the Communicable Diseases Act (Smittskyddslagen) Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension(boolean) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLPrescriptionCommunicableDiseasesAct Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A EHM: Förskrivning enligt smittskyddslagen
nllPatientPharmaceuticalBenefitsAct	S I	1..1	Extension(boolean)	Element id MedicationRequest.dispenseRequest.extension:nllPatientPharmaceuticalBenefitsAct Short description Patient eligible to benefits Alternate names extensions, user content Definition Indicates if the patient is eligible to benefits according to the Pharmaceutical Benefits Act (Lag (2002:160) om läkemedelsförmån) Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension(boolean) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLPatientPharmaceuticalBenefitsAct Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A EHM: Patient förmånsberättigad
nllConditionsPharmaceuticalBenefitsAct	S I	0..1	Extension(boolean)	Element id MedicationRequest.dispenseRequest.extension:nllConditionsPharmaceuticalBenefitsAct Short description Pharmaceutical benefits act conditions Alternate names extensions, user content Definition Only relevant if the medication has restrictions for reimbursement. Indicates if the patient fulfills the conditions for the prescribed medication. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension(boolean) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLConditionsPharmaceuticalBenefitsAct Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A EHM: Förmånsvillkor uppfyllda
nllTotalQuantity	S I	0..1	Extension(Complex)	Element id MedicationRequest.dispenseRequest.extension:nllTotalQuantity Short description Amount of medication to supply in total Alternate names extensions, user content Definition Amount of medication to supply in total for this prescription. Calculated be the Swedish E-health Agency. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension(Complex) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLTotalQuantity Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllTotalQuantity.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	2..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
prescribed	S I	1..1	Extension	Element id MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:prescribed Short description Total amount prescribed Alternate names extensions, user content Definition Total amount prescribed in this prescription. Calculated by the Swedish e-health Agency. Not used for dose dispensed prescriptions. The unit used is the unit specified in VARA (the Swedish national registry for medical products) for the prescribed medical product. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a EHM: Förskriven mängd
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:prescribed.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:prescribed.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:prescribed.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value prescribed Mappings rim: N/A
value[x]		1..1		There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:prescribed.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
valueQuantity			Quantity	There are no (further) constraints on this element Data type Quantity
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:prescribed.value[x].id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:prescribed.value[x].extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
value	S Σ	1..1	decimal	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:prescribed.value[x].value Short description Numerical value (with implicit precision) Definition The value of the measured amount. The value includes an implicit precision in the presentation of the value. Requirements Precision is handled implicitly in almost all cases of measurement. Comments The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). Data type decimal Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: SN.2 / CQ - N/A rim: PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
comparator	Σ ?!	0..0	codeBinding	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:prescribed.value[x].comparator Short description < \| <= \| >= \| > - how to understand the value Definition How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. Requirements Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Meaning when missing If there is no comparator, then there is no modification of the value Data type code Binding How the Quantity should be understood and represented. QuantityComparator (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: SN.1 / CQ.1 rim: IVL properties
unit	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:prescribed.value[x].unit Short description Unit representation Definition A human-readable form of the unit. Requirements There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: (see OBX.6 etc.) / CQ.2 rim: PQ.unit
system	Σ I	0..1	uri	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:prescribed.value[x].system Short description System that defines coded unit form Definition The identification of the system that provides the coded form of the unit. Requirements Need to know the system that defines the coded form of the unit. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: (see OBX.6 etc.) / CQ.2 rim: CO.codeSystem, PQ.translation.codeSystem
code	Σ	0..1	code	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:prescribed.value[x].code Short description Coded form of the unit Definition A computer processable form of the unit in some unit representation system. Requirements Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. Comments The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: (see OBX.6 etc.) / CQ.2 rim: PQ.code, MO.currency, PQ.translation.code
remaining	S I	1..1	Extension	Element id MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:remaining Short description Quantity remaining Alternate names extensions, user content Definition The remaining quantity that may be dispensed for this prescription. Calculated by the Swedish e-health Agency. Not used for dose dispensed prescriptions. The unit used is the unit specified in VARA (the Swedish national registry for medical products) for the prescribed medical product. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a EHM: Kvarvarande mängd
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:remaining.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:remaining.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:remaining.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value remaining Mappings rim: N/A
value[x]		1..1		There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:remaining.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
valueQuantity			Quantity	There are no (further) constraints on this element Data type Quantity
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:remaining.value[x].id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:remaining.value[x].extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
value	S Σ	1..1	decimal	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:remaining.value[x].value Short description Numerical value (with implicit precision) Definition The value of the measured amount. The value includes an implicit precision in the presentation of the value. Requirements Precision is handled implicitly in almost all cases of measurement. Comments The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). Data type decimal Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: SN.2 / CQ - N/A rim: PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
comparator	Σ ?!	0..0	codeBinding	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:remaining.value[x].comparator Short description < \| <= \| >= \| > - how to understand the value Definition How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. Requirements Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Meaning when missing If there is no comparator, then there is no modification of the value Data type code Binding How the Quantity should be understood and represented. QuantityComparator (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: SN.1 / CQ.1 rim: IVL properties
unit	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:remaining.value[x].unit Short description Unit representation Definition A human-readable form of the unit. Requirements There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: (see OBX.6 etc.) / CQ.2 rim: PQ.unit
system	Σ I	0..1	uri	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:remaining.value[x].system Short description System that defines coded unit form Definition The identification of the system that provides the coded form of the unit. Requirements Need to know the system that defines the coded form of the unit. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: (see OBX.6 etc.) / CQ.2 rim: CO.codeSystem, PQ.translation.codeSystem
code	Σ	0..1	code	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:remaining.value[x].code Short description Coded form of the unit Definition A computer processable form of the unit in some unit representation system. Requirements Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. Comments The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: (see OBX.6 etc.) / CQ.2 rim: PQ.code, MO.currency, PQ.translation.code
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllTotalQuantity.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value http://electronichealth.se/fhir/StructureDefinition/NLLTotalQuantity Mappings rim: N/A
value[x]		0..0		There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllTotalQuantity.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
nllBenefitDetails	S I	0..1	Extension(Complex)	Element id MedicationRequest.dispenseRequest.extension:nllBenefitDetails Short description Benefit calculation information Alternate names extensions, user content Definition Information needed for calculating benefit Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension(Complex) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLBenefitDetails Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllBenefitDetails.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
dailyBenefitQuantityUnfeasible	S I	0..1	Extension	Element id MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:dailyBenefitQuantityUnfeasible Short description Indication if daily quantity can't be calculated Alternate names extensions, user content Definition Indication if it is not possible to calculate a daily benefit quantity. Set by the dispensing pharmacist. Not used for dose dispensed prescriptions. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a EHM: Förmånsrelaterad daglig mängd kan ej anges
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:dailyBenefitQuantityUnfeasible.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:dailyBenefitQuantityUnfeasible.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:dailyBenefitQuantityUnfeasible.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value dailyBenefitQuantityUnfeasible Mappings rim: N/A
value[x]		0..1		There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:dailyBenefitQuantityUnfeasible.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
valueBoolean			boolean	There are no (further) constraints on this element Data type boolean
dailyBenefitQuantity	S I	0..1	ExtensionBinding	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:dailyBenefitQuantity Short description Daily quantity within benefit Alternate names extensions, user content Definition Daily quantity within benefit. Set by the pharmacist before making the first dispense. Not used for dose dispensed prescriptions. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Binding http://electronichealth.se/fhir/ValueSet/dose-quantity-units (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a EHM: Förmånsrelaterad daglig mängd
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:dailyBenefitQuantity.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:dailyBenefitQuantity.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:dailyBenefitQuantity.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value dailyBenefitQuantity Mappings rim: N/A
value[x]		0..1	Binding	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:dailyBenefitQuantity.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Binding http://electronichealth.se/fhir/ValueSet/dose-quantity-units (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
valueQuantity			Quantity	There are no (further) constraints on this element Data type Quantity
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:dailyBenefitQuantity.value[x].id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:dailyBenefitQuantity.value[x].extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
value	Σ	1..1	decimal	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:dailyBenefitQuantity.value[x].value Short description Numerical value (with implicit precision) Definition The value of the measured amount. The value includes an implicit precision in the presentation of the value. Requirements Precision is handled implicitly in almost all cases of measurement. Comments The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). Data type decimal Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: SN.2 / CQ - N/A rim: PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
comparator	Σ ?!	0..0	codeBinding	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:dailyBenefitQuantity.value[x].comparator Short description < \| <= \| >= \| > - how to understand the value Definition How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. Requirements Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Meaning when missing If there is no comparator, then there is no modification of the value Data type code Binding How the Quantity should be understood and represented. QuantityComparator (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: SN.1 / CQ.1 rim: IVL properties
unit	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:dailyBenefitQuantity.value[x].unit Short description Unit representation Definition A human-readable form of the unit. Requirements There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: (see OBX.6 etc.) / CQ.2 rim: PQ.unit
system	Σ I	0..1	uri	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:dailyBenefitQuantity.value[x].system Short description System that defines coded unit form Definition The identification of the system that provides the coded form of the unit. Requirements Need to know the system that defines the coded form of the unit. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: (see OBX.6 etc.) / CQ.2 rim: CO.codeSystem, PQ.translation.codeSystem
code	Σ	0..1	code	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:dailyBenefitQuantity.value[x].code Short description Coded form of the unit Definition A computer processable form of the unit in some unit representation system. Requirements Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. Comments The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: (see OBX.6 etc.) / CQ.2 rim: PQ.code, MO.currency, PQ.translation.code
nextDispenseWithinBenefit	S I	0..1	Extension	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:nextDispenseWithinBenefit Short description Date for next dispense with benefit Alternate names extensions, user content Definition The earliest date for the next dispense with benefit. Calculated by the Swedish E-health Agency. Not used for dose dispensed prescriptions. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a EHM: Nästa uttag inom förmån
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:nextDispenseWithinBenefit.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:nextDispenseWithinBenefit.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:nextDispenseWithinBenefit.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value nextDispenseWithinBenefit Mappings rim: N/A
value[x]		0..1		There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:nextDispenseWithinBenefit.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
valueDate			date	There are no (further) constraints on this element Data type date
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllBenefitDetails.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value http://electronichealth.se/fhir/StructureDefinition/NLLBenefitDetails Mappings rim: N/A
value[x]		0..0		There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllBenefitDetails.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
nllNumberOfFillsRemaining	S I	0..1	Extension(unsignedInt)	Element id MedicationRequest.dispenseRequest.extension:nllNumberOfFillsRemaining Short description Number of fills remaining Alternate names extensions, user content Definition The number of fills this prescriptions has remaining. Calculated by the Swedish E-health Agency. Not used for dose dispensed prescriptions. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension(unsignedInt) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLNumberOfFillsRemaining Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A EHM: Antal uttag kvar
nllReceivingPharmacy	S I	0..1	Extension(Reference(NLLPharmacyLocation))	Element id MedicationRequest.dispenseRequest.extension:nllReceivingPharmacy Short description Receiving Pharmacy Alternate names extensions, user content Definition Receiving Pharmacy is used when the patient does not have a Swedish national identification number ("personnummer"). The patient has to pick up his/her medication at the receiving pharmacy where he/she is identified through name, birthdate and sex. The receiving pharmacy is tied to the physical adress. This means that if the premises are taken over by a different organization, the prescription will still be available at the same physical adress, Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension(Reference(NLLPharmacyLocation)) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLPharmacyReference Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A EHM: Mottagande apotek
nllPrescriberCostCenter	S I	1..1	Extension(Identifier)	Element id MedicationRequest.dispenseRequest.extension:nllPrescriberCostCenter Short description The prescribers cost center Alternate names extensions, user content Definition The prescribers cost center code when making the prescription. Used for benefit billing within the regions. Comments Minimum string length: 3 Maximum string length: 13 Data type Extension(Identifier) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLPrescriberCostCenter Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A EHM: Kostnadsställe (arbetsplatskod)
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllPrescriberCostCenter.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllPrescriberCostCenter.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllPrescriberCostCenter.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value http://electronichealth.se/fhir/StructureDefinition/NLLPrescriberCostCenter Mappings rim: N/A
value[x]		0..1		There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllPrescriberCostCenter.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
valueIdentifier			Identifier	There are no (further) constraints on this element Data type Identifier
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllPrescriberCostCenter.value[x].id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllPrescriberCostCenter.value[x].extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllPrescriberCostCenter.value[x].use Short description usual \| official \| temp \| secondary \| old (If known) Definition The purpose of this identifier. Requirements Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Comments Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Data type code Binding Identifies the purpose for this identifier, if known . IdentifierUse (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: N/A rim: Role.code or implied by context
type	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllPrescriberCostCenter.value[x].type Short description Description of identifier Definition A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Requirements Allows users to make use of identifiers when the identifier system is not known. Comments This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. Data type CodeableConcept Binding A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CX.5 rim: Role.code or implied by context
system	S Σ	0..1	uriFixed Value	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllPrescriberCostCenter.value[x].system Short description Cost center (sv arbetsplatskod) Definition The cost center needs to be in the form of a "workplace code" (sv arbetsplatskod). Workplace codes are avaliabnle in the system ARKO at the Swedish eHealth Agency. Requirements There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Comments Identifier.system is always case sensitive. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed value http://electronichealth.se/identifier/arbetsplatskod Mappings v2: CX.4 / EI-2-4 rim: II.root or Role.id.root servd: ./IdentifierType
value	S Σ	1..1	string	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllPrescriberCostCenter.value[x].value Short description Cost center (sv arbetsplatskod) value Definition The value of the cost center needs to be in the form of a "workplace code" (sv arbetsplatskod). Workplace codes are avaliabnle in the system ARKO at the Swedish eHealth Agency. Comments If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Maximum string length 13 Examples General 123456 Mappings v2: CX.1 / EI.1 rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd: ./Value
period	Σ	0..1	Period	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllPrescriberCostCenter.value[x].period Short description Time period when id is/was valid for use Definition Time period during which identifier is/was valid for use. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CX.7 + CX.8 rim: Role.effectiveTime or implied by context servd: ./StartDate and ./EndDate
assigner	Σ	0..1	Reference(Organization)	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllPrescriberCostCenter.value[x].assigner Short description Organization that issued id (may be just text) Definition Organization that issued/manages the identifier. Comments The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization. Data type Reference(Organization) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CX.4 / (CX.4,CX.9,CX.10) rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd: ./IdentifierIssuingAuthority
nllSubstitutionOpposed	S I	0..1	Extension(code)Binding	Element id MedicationRequest.dispenseRequest.extension:nllSubstitutionOpposed Short description Substitution opposed Alternate names extensions, user content Definition Only used for dose dispensed prescriptions. Substitution is opposed (sv: bytes ej) by either the pharmacist or the patient. This information can be saved on the prescription as the patient isn't present when the dispensing takes place. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension(code) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLSubstitutionOpposed Binding substitution-opposition-types (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A EHM: Bytes ej
nllNumberOfDispensesAllowed	S I	0..1	Extension(unsignedInt)	Element id MedicationRequest.dispenseRequest.extension:nllNumberOfDispensesAllowed Short description Number of dispenses allowed Alternate names extensions, user content Definition Number of dispenses allowed (sv. förskrivet antal uttag) is the common way in Sweden of communicating the total number of dispenses that can be performed. The standard field number of repeats allowed is similar but does not include the first dispense. The two terms are related by the formula numberOfRepeatsAllowed +1 = numberOfDispensesAllowed. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension(unsignedInt) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLNumberOfDispensesAllowed Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A EHM: Förskrivet antal uttag
nllNextDateDispenseInterval	S I	0..1	Extension(date)	Element id MedicationRequest.dispenseRequest.extension:nllNextDateDispenseInterval Short description Next date despense interval Alternate names extensions, user content Definition Calculated by the Swedish e-health Agency. Not used for dose dispensed prescriptions. The earliest date for the next dispense for prescriptions with dispense interval. When the date cannot be calculated, the dispense interval is checked by the pharmacist. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension(date) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLNextDateDispenseInterval Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A EHM: Datum för nästa uttag om expedieringsintervall
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllNextDateDispenseInterval.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllNextDateDispenseInterval.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
url		1..1	uriFixed Value	Element id MedicationRequest.dispenseRequest.extension:nllNextDateDispenseInterval.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value http://electronichealth.se/fhir/StructureDefinition/nllNextDateDispenseInterval Mappings rim: N/A
value[x]		0..1		There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.extension:nllNextDateDispenseInterval.value[x] Short description Next date despense interval Definition Calculated by the Swedish e-health Agency. Not used for dose dispensed prescriptions. Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
valueDate			date	There are no (further) constraints on this element Data type date
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers Definition May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: N/A
initialFill	S	0..1	BackboneElement	Element id MedicationRequest.dispenseRequest.initialFill Short description Indication for Trial Fill Definition Used for indicating "Trial Fill". May only be one package, usually the smallest package available. Not used for dose dispensed prescriptions. Comments If populating this element, either the quantity or the duration must be included. Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: SubstanceAdministration -> ActRelationship[sequenceNumber = '1'] -> Supply EHM: Startförpackning
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.initialFill.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.initialFill.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.initialFill.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers Definition May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: N/A
quantity	S	1..1	SimpleQuantity	Element id MedicationRequest.dispenseRequest.initialFill.quantity Short description Trial fill quantity, one package Definition The amount or quantity to provide as part of the first dispense. Data type SimpleQuantity Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: Supply.quantity[moodCode=RQO]
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.initialFill.quantity.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.initialFill.quantity.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
value	S Σ	1..1	decimalFixed Value	Element id MedicationRequest.dispenseRequest.initialFill.quantity.value Short description Numerical value (with implicit precision) Definition The value of the measured amount. The value includes an implicit precision in the presentation of the value. Requirements Precision is handled implicitly in almost all cases of measurement. Comments The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). Data type decimal Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed value 1 Mappings v2: SN.2 / CQ - N/A rim: PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
comparator	Σ ?!	0..0	codeBinding	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.initialFill.quantity.comparator Short description < \| <= \| >= \| > - how to understand the value Definition Not allowed to be used in this context Requirements Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Meaning when missing If there is no comparator, then there is no modification of the value Data type code Binding How the Quantity should be understood and represented. QuantityComparator (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: SN.1 / CQ.1 rim: IVL properties
unit	S Σ	0..1	stringFixed Value	Element id MedicationRequest.dispenseRequest.initialFill.quantity.unit Short description Unit representation Definition A human-readable form of the unit. Requirements There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed value Package Mappings v2: (see OBX.6 etc.) / CQ.2 rim: PQ.unit
system	S Σ I	0..1	uriFixed Value	Element id MedicationRequest.dispenseRequest.initialFill.quantity.system Short description System that defines coded unit form Definition The identification of the system that provides the coded form of the unit. Requirements Need to know the system that defines the coded form of the unit. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed value http://unitsofmeasure.org Mappings v2: (see OBX.6 etc.) / CQ.2 rim: CO.codeSystem, PQ.translation.codeSystem
code	S Σ	1..1	codeFixed Value	Element id MedicationRequest.dispenseRequest.initialFill.quantity.code Short description Coded form of the unit Definition A computer processable form of the unit in some unit representation system. Requirements Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. Comments The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed value {Package} Mappings v2: (see OBX.6 etc.) / CQ.2 rim: PQ.code, MO.currency, PQ.translation.code
duration		0..0	Duration	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.initialFill.duration Short description First fill duration Definition The length of time that the first dispense is expected to last. Data type Duration Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: Supply.effectivetime[moodCode=RQO]
dispenseInterval	S	0..1	Duration	Element id MedicationRequest.dispenseRequest.dispenseInterval Short description Minimum period of time between dispenses Definition The minimum period of time that must occur between dispenses of the medical product. Not used for dose dispensed prescriptions. Data type Duration Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: Supply.effectivetime[moodCode=RQO] EHM: Expedieringsintervall
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.dispenseInterval.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.dispenseInterval.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
value	S Σ	1..1	decimal	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.dispenseInterval.value Short description Numerical value (with implicit precision) Definition The value of the measured amount. The value includes an implicit precision in the presentation of the value. Requirements Precision is handled implicitly in almost all cases of measurement. Comments The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). Data type decimal Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: SN.2 / CQ - N/A rim: PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
comparator	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.dispenseInterval.comparator Short description < \| <= \| >= \| > - how to understand the value Definition How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. Requirements Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Meaning when missing If there is no comparator, then there is no modification of the value Data type code Binding How the Quantity should be understood and represented. QuantityComparator (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: SN.1 / CQ.1 rim: IVL properties
unit	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.dispenseInterval.unit Short description Unit representation Definition A human-readable form of the unit. Requirements There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: (see OBX.6 etc.) / CQ.2 rim: PQ.unit
system	S Σ I	0..1	uri	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.dispenseInterval.system Short description System that defines coded unit form Definition The identification of the system that provides the coded form of the unit. Requirements Need to know the system that defines the coded form of the unit. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: (see OBX.6 etc.) / CQ.2 rim: CO.codeSystem, PQ.translation.codeSystem
code	S Σ	1..1	codeBinding	Element id MedicationRequest.dispenseRequest.dispenseInterval.code Short description Coded form of the unit Definition A computer processable form of the unit in some unit representation system. Requirements Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. Comments The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. Data type code Binding dispense-interval-units (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: (see OBX.6 etc.) / CQ.2 rim: PQ.code, MO.currency, PQ.translation.code EHM: Expedieringsintervall enhet
validityPeriod	S	0..1	Period	Element id MedicationRequest.dispenseRequest.validityPeriod Short description Time period supply is authorized for Definition This indicates the validity period of a prescription (stale dating the Prescription). I no validityPeriod.end is provided, then it will be calculated by the Swedish E-health Agency. The validity period may not be longer than one year. Requirements Indicates when the Prescription becomes valid, and when it ceases to be a dispensable Prescription. Comments It reflects the prescribers' perspective for the validity of the prescription. Dispenses must not be made against the prescription outside of this period. The lower-bound of the Dispensing Window signifies the earliest date that the prescription can be filled for the first time. If an upper-bound is not specified then the Prescription is open-ended or will default to a stale-date based on regulations. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings script10.6: Message/Body/NewRx/MedicationPrescribed/Refills rim: effectiveTime
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.validityPeriod.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.validityPeriod.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
nllFirstDispenseBefore	S I	0..1	Extension(date)	Element id MedicationRequest.dispenseRequest.validityPeriod.extension:nllFirstDispenseBefore Short description First dispense must occur before Alternate names extensions, user content Definition Not used for dose dispensed prescriptions The first dispense must occur before this date. If not, the prescription will be invalidated. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension(date) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLFirstDispenseBefore Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A EHM: Första uttag före
start	Σ I	0..1	dateTime	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.validityPeriod.start Short description Starting time with inclusive boundary Definition The start of the period. The boundary is inclusive. Comments If the low element is missing, the meaning is that the low boundary is not known. Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: DR.1 rim: ./low
end	S Σ I	0..1	dateTime	Element id MedicationRequest.dispenseRequest.validityPeriod.end Short description Last date when dispensing is allowed Definition Last date when dispensing is allowed. If no date is provided it will be calculated by the Swedish E-health Agency. NB! This is only handled as a date, the time part of the dateTime is not used. Comments The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03. Meaning when missing If the end of the period is missing, it means that the period is ongoing Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: DR.2 rim: ./high EHM: Sista giltighetsdag
numberOfRepeatsAllowed	S	0..1	unsignedInt	Element id MedicationRequest.dispenseRequest.numberOfRepeatsAllowed Short description Number of refills authorized Definition Not used for dose dispensed prescriptions. An integer indicating the number of times, in addition to the original dispense, (aka refills or repeats) that the patient can receive the prescribed medication. Usage Notes: This integer does not include the original order dispense. This means that if an order indicates dispense 30 tablets plus "3 repeats", then the order can be dispensed a total of 4 times and the patient can receive a total of 120 tablets. A prescriber may explicitly say that zero refills are permitted after the initial dispense. Comments If using this as basis for displaying "total number of authorized fills", add 1 to this number. This is because the total number of dispenses is the original dispense + additional dispenses stipulated by "number of repeats allowed". Data type unsignedInt Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings script10.6: Message/Body/NewRx/MedicationPrescribed/Quantity v2: RXE-12-Number of Refills rim: repeatNumber EHM: Förskrivet antal uttag
quantity	S	0..1	SimpleQuantity	Element id MedicationRequest.dispenseRequest.quantity Short description Amount of medication to supply per dispense Definition The amount that is to be dispensed for one fill. The unit used is the unit specified in VARA (the Swedish national registry for medical products) for the prescribed medical product. Calculated by the Swedish E-health Agency based on nllNumberOfPackagesPrescibed and the quantity of medication in the package. Not used for dose dispensed prescriptions. Data type SimpleQuantity Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings script10.6: Message/Body/NewRx/MedicationPrescribed/DaysSupply v2: RXD-4-Actual Dispense Amount / RXD-5.1-Actual Dispense Units.code / RXD-5.3-Actual Dispense Units.name of coding system rim: quantity EHM: Förskriven mängd per uttag
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.quantity.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.quantity.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
value	S Σ	0..1	decimal	Element id MedicationRequest.dispenseRequest.quantity.value Short description Numerical value (with implicit precision) Definition The value of the measured amount. The value includes an implicit precision in the presentation of the value. Requirements Precision is handled implicitly in almost all cases of measurement. Comments The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). Data type decimal Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: SN.2 / CQ - N/A rim: PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value EHM: Förskriven mängd per uttag
comparator	Σ ?!	0..0	codeBinding	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.quantity.comparator Short description < \| <= \| >= \| > - how to understand the value Definition Not allowed to be used in this context Requirements Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Meaning when missing If there is no comparator, then there is no modification of the value Data type code Binding How the Quantity should be understood and represented. QuantityComparator (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: SN.1 / CQ.1 rim: IVL properties
unit	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.quantity.unit Short description Unit representation Definition A human-readable form of the unit. Requirements There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: (see OBX.6 etc.) / CQ.2 rim: PQ.unit
system	Σ I	0..1	uri	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.quantity.system Short description System that defines coded unit form Definition The identification of the system that provides the coded form of the unit. Requirements Need to know the system that defines the coded form of the unit. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: (see OBX.6 etc.) / CQ.2 rim: CO.codeSystem, PQ.translation.codeSystem
code	Σ	0..1	code	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.quantity.code Short description Coded form of the unit Definition A computer processable form of the unit in some unit representation system. Requirements Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. Comments The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: (see OBX.6 etc.) / CQ.2 rim: PQ.code, MO.currency, PQ.translation.code
expectedSupplyDuration		0..1	Duration	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.expectedSupplyDuration Short description Number of days supply per dispense Definition Identifies the period time over which the supplied product is expected to be used, or the length of time the dispense is expected to last. Comments In some situations, this attribute may be used instead of quantity to identify the amount supplied by how long it is expected to last, rather than the physical quantity issued, e.g. 90 days supply of medication (based on an ordered dosage). When possible, it is always better to specify quantity, as this tends to be more precise. expectedSupplyDuration will always be an estimate that can be influenced by external factors. Data type Duration Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings script10.6: Message/Body/NewRx/MedicationPrescribed/Substitutions rim: expectedUseTime
performer		0..1	Reference(Organization)	There are no (further) constraints on this element Element id MedicationRequest.dispenseRequest.performer Short description Intended dispenser Definition Indicates the intended dispensing Organization specified by the prescriber. Data type Reference(Organization) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings w5: FiveWs.who rim: .outboundRelationship[typeCode=COMP].target[classCode=SPLY, moodCode=RQO] .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
substitution	S	0..1	BackboneElement	There are no (further) constraints on this element Element id MedicationRequest.substitution Short description Any restrictions on medication substitution Definition Indicates whether or not substitution can or should be part of the dispense. In some cases, substitution must happen, in other cases substitution must not happen. This block explains the prescriber's intent. If nothing is specified substitution may be done. Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings script10.6: specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions rim: subjectOf.substitutionPersmission
id		0..1	string	There are no (further) constraints on this element Element id MedicationRequest.substitution.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.substitution.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id MedicationRequest.substitution.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers Definition May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: N/A
allowed[x]	S	1..1		Element id MedicationRequest.substitution.allowed[x] Short description Whether substitution is allowed or not Definition True if the prescriber allows a different drug to be dispensed from what was prescribed. Comments This element is labeled as a modifier because whether substitution is allow or not, it cannot be ignored. A missing value is the same as substitution allowed Meaning when missing A missing value is the same as substitution allowed Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings script10.6: specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions v2: RXO-9-Allow Substitutions / RXE-9-Substitution Status rim: code EHM: Substitution tillåten
allowedBoolean			boolean	Data type boolean
reason		0..1	CodeableConcept	There are no (further) constraints on this element Element id MedicationRequest.substitution.reason Short description Why should (not) substitution be made Definition Indicates the reason for the substitution, or why substitution must or must not be performed. Data type CodeableConcept Binding A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed. v3.SubstanceAdminSubstitutionReason (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings script10.6: not mapped v2: RXE-9 Substition status rim: reasonCode
priorPrescription	S	0..1	Reference(NLLMedicationRequest)	Element id MedicationRequest.priorPrescription Short description A prescription that is being/has been replaced/renewed Definition When replacing or renewing a prescription, the version of the replaced/renewed prescription must be provided in the POST operation. When reading a prescription, the reference to the replaced/renewed prescription will not be version specific. Data type Reference(NLLMedicationRequest) Allowed aggregation: referenced Versioning rules: The reference may be either version independent or version specific. Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Request.replaces script10.6: not mapped rim: .outboundRelationship[typeCode=?RPLC or ?SUCC]/target[classCode=SBADM,moodCode=RQO] EHM: Referens till tidigare förskrivning
detectedIssue	S	0..*	Reference(NLLDetectedIssue)	Element id MedicationRequest.detectedIssue Short description Automatic Format and Constitution Control warning (AFF-varning) Alternate names Contraindication, Drug Utilization Review (DUR), Alert Definition Read only for MedicationRequest. Automatic Format and Constitution Control (AFF) warning generated by the Swedish eHealth Agency according to the current conditions. Comments This element can include a detected issue that has been identified either by a decision support system or by a clinician and may include information on the steps that were taken to address the issue. Data type Reference(NLLDetectedIssue) Allowed aggregation: contained Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .inboundRelationship[typeCode=SUBJ]/source[classCode=ALRT,moodCode=EVN].value EHM: AFF-varning
eventHistory		0..*	Reference(Provenance)	There are no (further) constraints on this element Element id MedicationRequest.eventHistory Short description A list of events of interest in the lifecycle Definition Links to Provenance records for past versions of this resource or fulfilling request or event resources that identify key state transitions or updates that are likely to be relevant to a user looking at the current version of the resource. Comments This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.). Data type Reference(Provenance) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Request.relevantHistory rim: .inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]

MedicationRequest
Definition	MedicationRequest in the National Swedish Medication List is used for prescriptions for a patient. A prescription can be made for either a medicine package or for a reimbursed consumable.
Cardinality	0...*
Alias	Prescription, Order
Invariants	dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.empty()` dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource `contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()` dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()` dom-5: If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` dom-6: A resource should have narrative for robust management text.`div`.exists()
Mappings	rim: Entity. Role, or Act workflow: Request script10.6: Message/Body/NewRx rim: CombinedMedicationRequest
MedicationRequest.id
Definition	The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Cardinality	0...1
Type	string
Must Support	True
Summary	True
Comments	The only time that a resource does not have an id is when it is being submitted to the server using a create operation. This id is identified by the URI http://electronichealth.se/identifier/nllmedicationrequestid in documentation and external systems.
Mappings	EHM: Förskrivnings-id
MedicationRequest.meta
Definition	The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
Cardinality	0...1
Type	Meta
Must Support	True
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
MedicationRequest.meta.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.meta.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.meta.versionId
Definition	The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.
Cardinality	0...1
Type	id
Must Support	True
Summary	True
Comments	The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	EHM: Förskrivningsversion
MedicationRequest.meta.lastUpdated
Definition	When the resource last changed - e.g. when the version changed.
Cardinality	0...1
Type	instant
Summary	True
Comments	This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
MedicationRequest.meta.source
Definition	A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](provenance.html#) information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.
Cardinality	0...1
Type	uri
Summary	True
Comments	In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
MedicationRequest.meta.profile
Definition	A list of profiles (references to [StructureDefinition](structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](structuredefinition-definitions.html#StructureDefinition.url).
Cardinality	0...*
Type	canonical(StructureDefinition)
Summary	True
Comments	It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
MedicationRequest.meta.security
Definition	Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.
Cardinality	0...*
Type	Coding
Binding	Security Labels from the Healthcare Privacy and Security Classification System. security-labels (extensible)
Must Support	True
Summary	True
Comments	The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
MedicationRequest.meta.security.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.meta.security.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.meta.security.system
Definition	The identification of the code system that defines the meaning of the symbol in the code.
Cardinality	0...1
Type	uri
Must Support	True
Summary	True
Requirements	Need to be unambiguous about the source of the definition of the symbol.
Comments	The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
MedicationRequest.meta.security.version
Definition	The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Cardinality	0...1
Type	string
Must Support	True
Summary	True
Comments	Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
MedicationRequest.meta.security.code
Definition	A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Cardinality	0...1
Type	code
Must Support	True
Summary	True
Requirements	Need to refer to a particular code in the system.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
MedicationRequest.meta.security.display
Definition	A representation of the meaning of the code in the system, following the rules of the system.
Cardinality	0...1
Type	string
Summary	True
Requirements	Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
MedicationRequest.meta.security.userSelected
Definition	Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Cardinality	0...1
Type	boolean
Summary	True
Requirements	This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Comments	Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
MedicationRequest.meta.tag
Definition	Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.
Cardinality	0...*
Type	Coding
Binding	Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". CommonTags (example)
Summary	True
Comments	The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
MedicationRequest.implicitRules
Definition	A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Cardinality	0...1
Type	uri
Modifier	True
Summary	True
Comments	Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
MedicationRequest.language
Definition	The base language in which the resource is written.
Cardinality	0...1
Type	code
Binding	A human language. CommonLanguages (preferred)
Comments	Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
MedicationRequest.text
Definition	A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
Cardinality	0...1
Type	Narrative
Alias	narrative, html, xhtml, display
Comments	Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: Act.text?
MedicationRequest.contained
Definition	These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
Cardinality	0...*
Type	Resource
Alias	inline resources, anonymous resources, contained resources
Comments	This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
Mappings	rim: N/A
MedicationRequest.extension
Definition	May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	2...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: N/A
MedicationRequest.extension:nllPatientTreatmentReason
Definition	The reason for the treatment described in a way that is understood by the patient (behandlingsändamål). A text can be selected from "Nationell källa för ordinationsorsak" (NKOO). It is also possible to enter free text. NKOO is a code system that is defined by the Swedish National Board of Health and Welfare (Socialstyrelsen). The code system consists of SnomedCT codes for reasons (behandlingsorsak). Each medical product has a selection of valid SnomedCT reason codes, and in connection with the codes are the available patient reasons. The corresponding patient text could be entered here in "nllPatientTreatmentReason", and the SnomedCT reason code (behandlingsorsak) should be entered in "reasonCode".
Cardinality	0...1
Type	Extension(string)
Must Support	True
Alias	extensions, user content
Comments	Maximum string length: 256
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: N/A rim: n/a EHM: Behandlingsändamål
MedicationRequest.extension:nllPrescriptionChain
Definition	Id used to identify all prescriptions in one prescription chain. A prescription chain is a set of prescriptions that are linked together in chronological order (The attribute priorPrescription is used to find the previos prescription.) A prescription chain is created ie when a prescription is renewed or replaced. The purpose is to be able to provide a grouping of related prescriptions. If a Prescription chain id is not provided in a POST of a MedicationRequest, a new prescription chain id is set by the Swedish eHealth Agency when the prescription is created. Prescription chain id is available on all prescriptions.
Cardinality	0...1
Type	Extension(uuid)
Must Support	True
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: N/A rim: n/a EHM: Förskrivningskedje-id
MedicationRequest.extension:nllPrescriptionFormat
Definition	Current prescription format can be either "electronic" (Elektroniskt) or "paper" (Papper). If the prescription has been printed out on paper, i.e. the format is "paper" , then the patient needs to bring the print-out with him to the pharmacy to be able to get a dispense.
Cardinality	1...1
Type	Extension(code)
Binding	prescription-formats (required)
Must Support	True
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: N/A rim: n/a EHM: Aktuellt format
MedicationRequest.extension:nllTreatmentDates
Definition	Treatment dates as defined by the Swedish law "Lag (2018:1212) om nationell läkemedelslista", chapter 3, 8§, section 5. The latest date when the medical treatment should be either reviewed or ended.
Cardinality	0...1
Type	Extension(Complex)
Must Support	True
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: N/A rim: n/a
MedicationRequest.extension:nllTreatmentDates.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.extension:nllTreatmentDates.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.extension:nllTreatmentDates.extension:treatmentReviewDate
Definition	The latest date at which a review of the ongoing treatment must be made.
Cardinality	0...1
Type	Extension
Must Support	True
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a EHM: Senaste datum för uppföljning av behandling
MedicationRequest.extension:nllTreatmentDates.extension:treatmentReviewDate.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.extension:nllTreatmentDates.extension:treatmentReviewDate.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.extension:nllTreatmentDates.extension:treatmentReviewDate.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1...1
Type	uri
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	treatmentReviewDate
Mappings	rim: N/A
MedicationRequest.extension:nllTreatmentDates.extension:treatmentReviewDate.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).
Cardinality	0...1
Type	date
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
MedicationRequest.extension:nllTreatmentDates.extension:treatmentEndDate
Definition	The latest date at which the prescriber orders that the treatment must end.
Cardinality	0...1
Type	Extension
Must Support	True
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a EHM: Senaste datum för avslut av behandling
MedicationRequest.extension:nllTreatmentDates.extension:treatmentEndDate.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.extension:nllTreatmentDates.extension:treatmentEndDate.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.extension:nllTreatmentDates.extension:treatmentEndDate.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1...1
Type	uri
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	treatmentEndDate
Mappings	rim: N/A
MedicationRequest.extension:nllTreatmentDates.extension:treatmentEndDate.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).
Cardinality	0...1
Type	date
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
MedicationRequest.extension:nllTreatmentDates.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1...1
Type	uri
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	http://electronichealth.se/fhir/StructureDefinition/NLLTreatmentDates
Mappings	rim: N/A
MedicationRequest.extension:nllTreatmentDates.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).
Cardinality	0...0
Type	base64Binary
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
MedicationRequest.extension:nllRegistrationBasis
Definition	The format of the basis for the registration of the prescription. A prescriber can only register prescriptions in electronic format in the Swedish National Medication List. A pharmacy can also register a prescription based on paper prescription, or based on a phone call from a prescriber. This value is entered when creating the prescription, and is never updated.
Cardinality	1...1
Type	Extension(code)
Binding	registration-basis (required)
Must Support	True
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: N/A rim: n/a EHM: Typ av registreringsunderlag
MedicationRequest.extension:nllUsageDates
Definition	Dates that are used for scheduling the use of the prescribed article.
Cardinality	0...1
Type	Extension(Complex)
Must Support	True
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: N/A rim: n/a
MedicationRequest.extension:nllUsageDates.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.extension:nllUsageDates.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.extension:nllUsageDates.extension:usageStartDate
Definition	The date when the patient should start administering the medication according to the prescription.
Cardinality	0...1
Type	Extension
Must Support	True
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a EHM: Första doseringsdag
MedicationRequest.extension:nllUsageDates.extension:usageStartDate.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.extension:nllUsageDates.extension:usageStartDate.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.extension:nllUsageDates.extension:usageStartDate.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1...1
Type	uri
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	usageStartDate
Mappings	rim: N/A
MedicationRequest.extension:nllUsageDates.extension:usageStartDate.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).
Cardinality	0...1
Type	date
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
MedicationRequest.extension:nllUsageDates.extension:usageEndDate
Definition	The date when the patient should stop administering the medication according to current prescription.
Cardinality	0...1
Type	Extension
Must Support	True
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a EHM: Sista doseringsdag
MedicationRequest.extension:nllUsageDates.extension:usageEndDate.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.extension:nllUsageDates.extension:usageEndDate.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.extension:nllUsageDates.extension:usageEndDate.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1...1
Type	uri
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	usageEndDate
Mappings	rim: N/A
MedicationRequest.extension:nllUsageDates.extension:usageEndDate.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).
Cardinality	0...1
Type	date
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
MedicationRequest.extension:nllUsageDates.extension:scheduleStartDate
Definition	Set by the Swedish eHealth Agency. Date used in renewed prescriptions whith repeating dosages for calculating the current day in the schedule. Used for repeating dosages with "time of day" or "when" (sv tillfällesdosering) and a UsageStartDate (första doseringsdag).
Cardinality	0...1
Type	Extension
Must Support	True
Alias	extensions, user content
Comments	Schedule Start Date is a mechanism for calculating the current day in the schedule when a prescription with a repeating schedule has been renewed once or several times. Schedule Start Date is the original Usage Start Date form the first prescription when the schedule was defined. Example: The first prescription had a Usage Start Date which was 2020-08-23 and the schedule repeats every second day ("Take every second day"). Then the Schedule Start Date will be set to 2020-08-23 and togehter with the instructions of the schedule it is possible calculate which day of the schedule any given date will correspond to, ie a day when the patient should take the medication or a day when no medication should be administered.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a EHM: Schemastartdag
MedicationRequest.extension:nllUsageDates.extension:scheduleStartDate.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.extension:nllUsageDates.extension:scheduleStartDate.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.extension:nllUsageDates.extension:scheduleStartDate.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1...1
Type	uri
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	scheduleStartDate
Mappings	rim: N/A
MedicationRequest.extension:nllUsageDates.extension:scheduleStartDate.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).
Cardinality	0...1
Type	date
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
MedicationRequest.extension:nllUsageDates.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1...1
Type	uri
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	http://electronichealth.se/fhir/StructureDefinition/NLLUsageDates
Mappings	rim: N/A
MedicationRequest.extension:nllUsageDates.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).
Cardinality	0...0
Type	base64Binary
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
MedicationRequest.extension:nllCompletePrescriptionChoice
Definition	Only used for input. When 12% or less of the total quantity of the prescribed medication is left, the prescription will automatically be set to status "Completed". A pharmacist can make a descision to overrule the automatic rules by either choosing to set the prescription status to "Completed" or to keep the status "Active".
Cardinality	0...1
Type	Extension(code)
Binding	complete-prescription-choices (required)
Must Support	True
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: N/A rim: n/a EHM: Beslut slutexpediering
MedicationRequest.extension:nllOrdinationsId
Definition	Calculated by the Swedish eHealth Agency. Not used for input. Legacy id used for identifying prescriptions which is used in the OR (Receptdepå human) API. In OR this corresponds to ordinationsId, which is unique for each version of the prescription. This attribute will be removed after the end of the transition period.
Cardinality	0...1
Type	Extension(decimal)
Must Support	True
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: N/A rim: n/a EHM: OR-OrdinationsId
MedicationRequest.extension:nllTidigareOrdinationsid
Definition	Calculated by the Swedish eHealth Agency. Not used for input. Legacy id used for identifying prescriptions which is used in the OR (Receptdepå human) API. "Tidigare OrdinationsId" is used for identifying a prior prescription originally created in OR (Receptdepå Human) . In OR this corresponds to tidigareOrdinationsId. This attribute will be removed after the end of the transition period.
Cardinality	0...1
Type	Extension(decimal)
Must Support	True
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: N/A rim: n/a EHM: Referens till tidigare OR-ordinations-id
MedicationRequest.modifierExtension
Definition	May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality	0...*
Type	Extension
Modifier	True
Alias	extensions, user content
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: N/A
MedicationRequest.identifier
Definition	Identifiers associated with this medication request that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server.
Cardinality	0...*
Type	Identifier
Must Support	True
Comments	This is a business identifier, not a resource identifier.
Slicing	Unordered, Open, by system(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Request.identifier script10.6: Message/Header/PrescriberOrderNumber w5: FiveWs.identifier v2: ORC-2-Placer Order Number / ORC-3-Filler Order Number rim: .id
MedicationRequest.identifier:NEF
Definition	Ids used for identifying prescriptions originally created in NEF or OR. In OR this corresponds to originalOrdinationsId, which is the same as PrescriptionSetId in NEF. In OR a originalOrdinationsId/PrescriptionSetId always correspons to one unique prescription. In NEF the combination of PrescriptionSetId-PrescriptionItemId corresponds to one unique prescription. PrescriptionItemId is made up from RowId-ProductRowId. originalOrdinationsId/PrescriptionSetId is in the form of a UUID. RowId and ProductRowId are counters. These attributes will be removed after the end of the transition period.
Cardinality	0...1
Type	Identifier
Must Support	True
Comments	This is a business identifier, not a resource identifier.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Request.identifier script10.6: Message/Header/PrescriberOrderNumber w5: FiveWs.identifier v2: ORC-2-Placer Order Number / ORC-3-Filler Order Number rim: .id
MedicationRequest.identifier:NEF.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.identifier:NEF.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.identifier:NEF.extension:NEFIdParts
Definition	IDs used by the old e-prescription format NEF, Nationell E-receptförvaltning and OR, Receptdepå Human.
Cardinality	0...1
Type	Extension(Complex)
Must Support	True
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a rim: N/A
MedicationRequest.identifier:NEF.extension:NEFIdParts.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.identifier:NEF.extension:NEFIdParts.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	1...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.identifier:NEF.extension:NEFIdParts.extension:PrescriptionSetId
Definition	NEF: PrescriptionSetId, OR: Originalordinationsid is a legacy identifier used by NEF/PIRR and OR. Every prescription created by systems connected before Swedish National Medication List will have a PrescriptionSetId/orignalordinationsid. However, it does not allways identify a unique prescription. To search for a unique prescriptions the RowId/radnummer and ProductRowId/produktradnummer may be needed as well.
Cardinality	1...1
Type	Extension
Must Support	True
Alias	extensions, user content
Comments	Maximum string length: 36
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a EHM: Originalordinations-id
MedicationRequest.identifier:NEF.extension:NEFIdParts.extension:PrescriptionSetId.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.identifier:NEF.extension:NEFIdParts.extension:PrescriptionSetId.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.identifier:NEF.extension:NEFIdParts.extension:PrescriptionSetId.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1...1
Type	uri
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	PrescriptionSetId
Mappings	rim: N/A
MedicationRequest.identifier:NEF.extension:NEFIdParts.extension:PrescriptionSetId.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).
Cardinality	0...1
Type	string
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
MedicationRequest.identifier:NEF.extension:NEFIdParts.extension:RowId
Definition	NEF: PrescriptionItemId the first part of ReceptradId that corresponds to sekvensnummer/radnummer.
Cardinality	0...1
Type	Extension
Must Support	True
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a EHM: Radnummer
MedicationRequest.identifier:NEF.extension:NEFIdParts.extension:RowId.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.identifier:NEF.extension:NEFIdParts.extension:RowId.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.identifier:NEF.extension:NEFIdParts.extension:RowId.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1...1
Type	uri
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	RowId
Mappings	rim: N/A
MedicationRequest.identifier:NEF.extension:NEFIdParts.extension:RowId.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).
Cardinality	0...1
Type	positiveInt
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
MedicationRequest.identifier:NEF.extension:NEFIdParts.extension:ProductRowId
Definition	NEF: PrescriptionItemId the second part of ReceptradId that corresponds to löpnummer/produktradnummer.
Cardinality	0...1
Type	Extension
Must Support	True
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a EHM: Produktradnummer
MedicationRequest.identifier:NEF.extension:NEFIdParts.extension:ProductRowId.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.identifier:NEF.extension:NEFIdParts.extension:ProductRowId.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.identifier:NEF.extension:NEFIdParts.extension:ProductRowId.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1...1
Type	uri
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	ProductRowId
Mappings	rim: N/A
MedicationRequest.identifier:NEF.extension:NEFIdParts.extension:ProductRowId.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).
Cardinality	0...1
Type	positiveInt
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
MedicationRequest.identifier:NEF.extension:NEFIdParts.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1...1
Type	uri
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	http://electronichealth.se/fhir/StructureDefinition/NLLNEFId
Mappings	rim: N/A
MedicationRequest.identifier:NEF.extension:NEFIdParts.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).
Cardinality	0...0
Type	base64Binary
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
MedicationRequest.identifier:NEF.use
Definition	The purpose of this identifier.
Cardinality	0...1
Type	code
Binding	Identifies the purpose for this identifier, if known . IdentifierUse (required)
Modifier	True
Summary	True
Requirements	Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Comments	Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: N/A rim: Role.code or implied by context
MedicationRequest.identifier:NEF.type
Definition	A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Cardinality	0...1
Type	CodeableConcept
Binding	A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible)
Summary	True
Requirements	Allows users to make use of identifiers when the identifier system is not known.
Comments	This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CX.5 rim: Role.code or implied by context
MedicationRequest.identifier:NEF.system
Definition	Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Cardinality	1...1
Type	uri
Must Support	True
Summary	True
Requirements	There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Comments	Identifier.system is always case sensitive.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Fixed Value	http://electronichealth.se/fhir/NamingSystem/NEFId
Mappings	v2: CX.4 / EI-2-4 rim: II.root or Role.id.root servd: ./IdentifierType
MedicationRequest.identifier:NEF.value
Definition	Calculated by the Swedish eHealth Agency. The complete NEFid for the specific prescribed article, i.e. a combination of PrescriptionSetId and PrescriptionItemId where applicable. PrescriptionItemId is made up from RowId-ProductRowId. In OR only PrescriptionSetId/originalOrdinationsId is used. originalOrdinationsId/PrescriptionSetId is in the form of a UUID. RowId and ProductRowId are counters. The format is "PrescriptionSetId/Originalordinationsid - PrescriptionItemid/RadnummerNEF", i.e. UUID-x-y. Example 123e4567-e89b-12d3-a456-426655440000-2-1, where the ending "2-1" are RowId-ProductRowId.
Cardinality	0...1
Type	string
Must Support	True
Summary	True
Comments	If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Examples	General 123456
Mappings	v2: CX.1 / EI.1 rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd: ./Value EHM: Kombinerat NEF-id
MedicationRequest.identifier:NEF.period
Definition	Time period during which identifier is/was valid for use.
Cardinality	0...1
Type	Period
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CX.7 + CX.8 rim: Role.effectiveTime or implied by context servd: ./StartDate and ./EndDate
MedicationRequest.identifier:NEF.assigner
Definition	Organization that issued/manages the identifier.
Cardinality	0...1
Type	Reference(Organization)
Summary	True
Comments	The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CX.4 / (CX.4,CX.9,CX.10) rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd: ./IdentifierIssuingAuthority
MedicationRequest.status
Definition	The status of the prescription. The following statuses will be used: active, cancelled, on-hold (suspended), completed and stopped. The following statuses will not be used: entered-in-error, draft and unknown.
Cardinality	1...1
Type	code
Binding	A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. medication-request-status (required)
Must Support	True
Modifier	True
Summary	True
Comments	This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Request.status script10.6: no mapping w5: FiveWs.status rim: .statusCode EHM: Förskrivningsstatus
MedicationRequest.statusReason
Definition	Set by the Swedish E-health Agency. Reason for the current status of the prescription.
Cardinality	0...1
Type	CodeableConcept
Binding	Identifies the reasons for a given status. medication-request-status-reasons (required)
Must Support	True
Comments	This is generally only used for "exception" statuses such as "suspended" or "cancelled". The reason why the MedicationRequest was created at all is captured in reasonCode, not here.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Request.statusReason rim: .inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde EHM: Förskrivningsstatusorsak
MedicationRequest.statusReason.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.statusReason.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.statusReason.coding
Definition	A reference to a code defined by a terminology system.
Cardinality	0...1
Type	Coding
Must Support	True
Summary	True
Requirements	Allows for alternative encodings within a code system, and translations to other code systems.
Comments	Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
MedicationRequest.statusReason.coding.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.statusReason.coding.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.statusReason.coding.system
Definition	The identification of the code system that defines the meaning of the symbol in the code.
Cardinality	1...1
Type	uri
Must Support	True
Summary	True
Requirements	Need to be unambiguous about the source of the definition of the symbol.
Comments	The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
MedicationRequest.statusReason.coding.version
Definition	The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Cardinality	0...1
Type	string
Must Support	True
Summary	True
Comments	Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
MedicationRequest.statusReason.coding.code
Definition	A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Cardinality	1...1
Type	code
Must Support	True
Summary	True
Requirements	Need to refer to a particular code in the system.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
MedicationRequest.statusReason.coding.display
Definition	A representation of the meaning of the code in the system, following the rules of the system.
Cardinality	0...1
Type	string
Summary	True
Requirements	Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
MedicationRequest.statusReason.coding.userSelected
Definition	Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Cardinality	0...1
Type	boolean
Summary	True
Requirements	This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Comments	Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
MedicationRequest.statusReason.text
Definition	A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Cardinality	0...1
Type	string
Summary	True
Requirements	The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Comments	Very often the text is the same as a displayName of one of the codings.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
MedicationRequest.intent
Definition	A prescription is always an order.
Cardinality	1...1
Type	code
Binding	The kind of medication order. medicationRequest Intent (required)
Must Support	True
Modifier	True
Summary	True
Comments	It is expected that the type of requester will be restricted for different stages of a MedicationRequest. For example, Proposals can be created by a patient, relatedPerson, Practitioner or Device. Plans can be created by Practitioners, Patients, RelatedPersons and Devices. Original orders can be created by a Practitioner only. An instance-order is an instantiation of a request or order and may be used to populate Medication Administration Record. This element is labeled as a modifier because the intent alters when and how the resource is actually applicable.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Fixed Value	order
Mappings	workflow: Request.intent w5: FiveWs.class rim: .moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere)
MedicationRequest.category
Definition	Indicates the type of medication request (for example, where the medication is expected to be consumed or administered (i.e. inpatient or outpatient)).
Cardinality	0...*
Type	CodeableConcept
Binding	A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment. medicationRequest Category Codes (example)
Comments	The category can be used to include where the medication is expected to be consumed or other types of requests.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	script10.6: Message/Body/NewRx/MedicationPrescribed/Directions or Message/Body/NewRx/MedicationPrescribed/StructuredSIG w5: FiveWs.class rim: .inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="type of medication usage"].value
MedicationRequest.priority
Definition	Shall only be used for dose dispensed prescriptions. Indicates that actions may need to be taken before next ordinary production date.
Cardinality	0...1
Type	code
Binding	Identifies the level of importance to be assigned to actioning the request. medication-request-priority (required)
Must Support	True
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Request.priority w5: FiveWs.grade rim: .priorityCode EHM: Akut förändring
MedicationRequest.doNotPerform
Definition	If true indicates that the provider is asking for the medication request not to occur.
Cardinality	0...1
Type	boolean
Modifier	True
Summary	True
Comments	If do not perform is not specified, the request is a positive request e.g. "do perform".
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: SubstanceAdministration.actionNegationInd
MedicationRequest.reported[x]
Definition	Indicates if this record was captured as a secondary 'reported' record rather than as an original primary source-of-truth record. It may also indicate the source of the report.
Cardinality	0...1
Type	boolean
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: .participation[typeCode=INF].role
MedicationRequest.medication[x]
Definition	Identifies the medical product or medical consumable being prescribed. Medical products are prescribed using both NPL-id (medical product) and NPL-pack-id (packaged medical product). Medical consumables are prescribed using item number (sv varunummer).
Cardinality	1...1
Type	CodeableConcept
Binding	A coded concept identifying substance or product that can be ordered. SNOMEDCTMedicationCodes (example)
Must Support	True
Summary	True
Comments	If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the Medication resource is recommended. For example, if you require form or lot number or if the medication is compounded or extemporaneously prepared, then you must reference the Medication resource.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Request.code script10.6: Message/Body/NewRx/MedicationPrescribed Medication.code.coding.code = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCode Medication.code.coding.system = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCodeQualifier Medication.code.coding.display = Message/Body/NewRx/MedicationPrescribed/DrugDescription w5: FiveWs.what[x] v2: RXE-2-Give Code / RXO-1-Requested Give Code / RXC-2-Component Code rim: consumable.administrableMedication EHM: Artikel
MedicationRequest.medication[x].id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.medication[x].extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.medication[x].coding
Definition	A reference to a code defined by a terminology system.
Cardinality	1...*
Type	Coding
Must Support	True
Summary	True
Requirements	Allows for alternative encodings within a code system, and translations to other code systems.
Comments	Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Slicing	Unordered, Open, by system(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
MedicationRequest.medication[x].coding:nplid
Definition	A unique identifier of a medical product according to "Nationellt produktregister för läkemedel" provided by the Swedish Medical Products Agency (sv Läkemedelsverket)
Cardinality	0...1
Type	Coding
Must Support	True
Summary	True
Requirements	Allows for alternative encodings within a code system, and translations to other code systems.
Comments	The naming system http://electronichealth.se/fhir/NamingSystem/nplid includes both NPL ID defined by Läkemedelsverket and SB ID defined by E-hälsomyndigheten
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding EHM: NPL-id
MedicationRequest.medication[x].coding:nplid.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.medication[x].coding:nplid.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.medication[x].coding:nplid.system
Definition	The identification of the code system that defines the meaning of the symbol in the code.
Cardinality	1...1
Type	uri
Must Support	True
Summary	True
Requirements	Need to be unambiguous about the source of the definition of the symbol.
Comments	The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Fixed Value	http://electronichealth.se/fhir/NamingSystem/nplid
Mappings	v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
MedicationRequest.medication[x].coding:nplid.version
Definition	The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Cardinality	0...1
Type	string
Summary	True
Comments	Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
MedicationRequest.medication[x].coding:nplid.code
Definition	A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Cardinality	1...1
Type	code
Must Support	True
Summary	True
Requirements	Need to refer to a particular code in the system.
Comments	Maximum string length: 14
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
MedicationRequest.medication[x].coding:nplid.display
Definition	A representation of the meaning of the code in the system, following the rules of the system.
Cardinality	0...1
Type	string
Summary	True
Requirements	Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
MedicationRequest.medication[x].coding:nplid.userSelected
Definition	Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Cardinality	0...1
Type	boolean
Summary	True
Requirements	This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Comments	Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
MedicationRequest.medication[x].coding:nplpackid
Definition	A unique identifier of a medical product package according to "Nationellt produktregister för läkemedel" provided by the Swedish Medical Products Agency (sv Läkemedelsverket)
Cardinality	0...1
Type	Coding
Must Support	True
Summary	True
Requirements	Allows for alternative encodings within a code system, and translations to other code systems.
Comments	The naming system http://electronichealth.se/fhir/NamingSystem/nplpackid includes both NPL-Pack ID defined by Läkemedelsverket and SB-Pack ID defined by E-hälsomyndigheten
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding EHM: NPL-pack-id
MedicationRequest.medication[x].coding:nplpackid.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.medication[x].coding:nplpackid.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.medication[x].coding:nplpackid.system
Definition	The identification of the code system that defines the meaning of the symbol in the code.
Cardinality	1...1
Type	uri
Must Support	True
Summary	True
Requirements	Need to be unambiguous about the source of the definition of the symbol.
Comments	The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Fixed Value	http://electronichealth.se/fhir/NamingSystem/nplpackid
Mappings	v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
MedicationRequest.medication[x].coding:nplpackid.version
Definition	The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Cardinality	0...1
Type	string
Summary	True
Comments	Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
MedicationRequest.medication[x].coding:nplpackid.code
Definition	A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Cardinality	1...1
Type	code
Must Support	True
Summary	True
Requirements	Need to refer to a particular code in the system.
Comments	Maximum string length: 14
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
MedicationRequest.medication[x].coding:nplpackid.display
Definition	A representation of the meaning of the code in the system, following the rules of the system.
Cardinality	0...1
Type	string
Summary	True
Requirements	Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
MedicationRequest.medication[x].coding:nplpackid.userSelected
Definition	Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Cardinality	0...1
Type	boolean
Summary	True
Requirements	This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Comments	Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
MedicationRequest.medication[x].coding:varunr
Definition	A unique identifier of a medical consumable according to "Nationellt produktregister för läkemedel" provided by the Swedish Medical Products Agency (sv Läkemedelsverket) Also a non-unique identifier of a medical product package.
Cardinality	0...1
Type	Coding
Must Support	True
Summary	True
Requirements	Allows for alternative encodings within a code system, and translations to other code systems.
Comments	Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding EHM: Varunummer
MedicationRequest.medication[x].coding:varunr.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.medication[x].coding:varunr.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.medication[x].coding:varunr.system
Definition	The identification of the code system that defines the meaning of the symbol in the code.
Cardinality	1...1
Type	uri
Must Support	True
Summary	True
Requirements	Need to be unambiguous about the source of the definition of the symbol.
Comments	The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Fixed Value	http://electronichealth.se/fhir/NamingSystem/varunr
Mappings	v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
MedicationRequest.medication[x].coding:varunr.version
Definition	The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Cardinality	0...1
Type	string
Summary	True
Comments	Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
MedicationRequest.medication[x].coding:varunr.code
Definition	A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Cardinality	1...1
Type	code
Must Support	True
Summary	True
Requirements	Need to refer to a particular code in the system.
Comments	Minimum string length: 6 Maximum string length: 6
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
MedicationRequest.medication[x].coding:varunr.display
Definition	A representation of the meaning of the code in the system, following the rules of the system.
Cardinality	0...1
Type	string
Summary	True
Requirements	Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
MedicationRequest.medication[x].coding:varunr.userSelected
Definition	Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Cardinality	0...1
Type	boolean
Summary	True
Requirements	This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Comments	Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
MedicationRequest.medication[x].text
Definition	FOR FUTURE USE, SHOULD NOT BE USED! Used to provide information about the prescribed article when a specified article isn´t available. For example when prescribing extemporaneous preparations.
Cardinality	0...1
Type	string
Must Support	True
Summary	True
Requirements	The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Comments	Max length: 255
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText EHM: Beskrivning artikel
MedicationRequest.subject
Definition	Patient resource representing the person to whom the medical product will be given. When the patient has a Swedish personal identity number (personnummer) the patient shall be provided as a referenced Patient resorce. If the patient does not have a Swedish personal identity number the Patient resource should be contained in the MedicationRequest resource.
Cardinality	1...1
Type	Reference(NLLPatient)
Must Support	True
Summary	True
Comments	The subject on a medication request is mandatory. For the secondary use case where the actual subject is not provided, there still must be an anonymized subject specified.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Request.subject script10.6: Message/Body/NewRx/Patient (need detail to link to specific patient … Patient.Identification in SCRIPT) w5: FiveWs.subject[x] v2: PID-3-Patient ID List rim: .participation[typeCode=AUT].role w5: FiveWs.subject EHM: Patientreferens
MedicationRequest.encounter
Definition	The Encounter during which this [x] was created or to which the creation of this record is tightly associated.
Cardinality	0...1
Type	Reference(Encounter)
Comments	This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter." If there is a need to link to episodes of care they will be handled with an extension.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Request.context script10.6: no mapping w5: FiveWs.context v2: PV1-19-Visit Number rim: .inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code="type of encounter or episode"]
MedicationRequest.supportingInformation
Definition	Include additional information (for example, patient height and weight) that supports the ordering of the medication.
Cardinality	0...*
Type	Reference(Resource)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Request.supportingInfo w5: FiveWs.context rim: .outboundRelationship[typeCode=PERT].target[A_SupportingClinicalStatement CMET minimal with many different choices of classCodes(ORG, ENC, PROC, SPLY, SBADM, OBS) and each of the act class codes draws from one or more of the following moodCodes (EVN, DEF, INT PRMS, RQO, PRP, APT, ARQ, GOL)]
MedicationRequest.authoredOn
Definition	The date and time when the prescription was authored.
Cardinality	1...1
Type	dateTime
Must Support	True
Summary	True
Comments	The time part is not mandatory, only a date may be provided.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Request.authoredOn script10.6: Message/Body/NewRx/MedicationPrescribed/WrittenDate w5: FiveWs.recorded v2: RXE-32-Original Order Date/Time / ORC-9-Date/Time of Transaction rim: author.time EHM: Utfärdandedatum
MedicationRequest.requester
Definition	The practitioner who prescribed the article
Cardinality	1...1
Type	Reference(NLLPractitioner)
Must Support	True
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Request.requester w5: FiveWs.author rim: .participation[typeCode=AUT].role EHM: Utfärdande förskrivare
MedicationRequest.performer
Definition	The specified desired performer of the medication treatment (e.g. the performer of the medication administration).
Cardinality	0...1
Type	Reference(Practitioner \| PractitionerRole \| Organization \| Patient \| Device \| RelatedPerson \| CareTeam)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Request.performer w5: FiveWs.actor rim: .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
MedicationRequest.performerType
Definition	Indicates the type of performer of the administration of the medication.
Cardinality	0...1
Type	CodeableConcept
Binding	Identifies the type of individual that is desired to administer the medication. ProcedurePerformerRoleCodes (example)
Summary	True
Comments	If specified without indicating a performer, this indicates that the performer must be of the specified type. If specified with a performer then it indicates the requirements of the performer if the designated performer is not available.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Request.performerType rim: .participation[typeCode=PRF].role[scoper.determinerCode=KIND].code
MedicationRequest.recorder
Definition	The person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order.
Cardinality	0...1
Type	Reference(Practitioner \| PractitionerRole)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	w5: FiveWs.who rim: .participation[typeCode=TRANS].role[classCode=ASSIGNED].code (HealthcareProviderType)
MedicationRequest.reasonCode
Definition	The reason stated by the practitioner for ordering a medical product (behandlingsorsak). A code from "Nationell källa för ordinationsorsak" which is a code system that is defined by the Swedish National Board of Health and Welfare (Socialstyrelsen). The code system consists of SnomedCT codes for reasons. Each medical product has of a selection of valid SnomedCT reason codes. The reason shall also be expressed in a way that can be easily understood by the patient (behandlingsändamål). This should be entered in nllPatientTreatmentReason. If there is no available code that describes the reason, then the code "OTH" (Other) shall be used. In that case a text describing the reason must be provided in reasonCode.text.
Cardinality	0...*
Type	CodeableConcept
Binding	A coded concept indicating why the medication was ordered. http://electronichealth.se/fhir/ValueSet/nll-snomed-behandlingsorsak (required)
Must Support	True
Comments	_
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Request.reasonCode script10.6: Message/Body/NewRx/MedicationPrescribed/Diagnosis/Primary/Value w5: FiveWs.why[x] v2: ORC-16-Order Control Code Reason /RXE-27-Give Indication/RXO-20-Indication / RXD-21-Indication / RXG-22-Indication / RXA-19-Indication rim: reason.observation.reasonCode EHM: Behandlingsorsak
MedicationRequest.reasonCode.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.reasonCode.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.reasonCode.extension:nlldataAbsentReason
Definition	Marks masked data, ie why data is missing.
Cardinality	0...1
Type	Extension(code)
Binding	data-absent-reason (required)
Must Support	True
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a rim: ANY.nullFlavor
MedicationRequest.reasonCode.extension:nlldataAbsentReason.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.reasonCode.extension:nlldataAbsentReason.extension
Definition	An Extension
Cardinality	0...0
Type	Extension
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
MedicationRequest.reasonCode.extension:nlldataAbsentReason.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1...1
Type	uri
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	http://hl7.org/fhir/StructureDefinition/data-absent-reason
Mappings	rim: N/A
MedicationRequest.reasonCode.extension:nlldataAbsentReason.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see [Extensibility](http:// hl7.org/fhir/extensibility.html) for a list).
Cardinality	1...1
Type	code
Binding	Used to specify why the normally expected content of the data element is missing. DataAbsentReason (required)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
MedicationRequest.reasonCode.coding
Definition	A reference to a code defined by a terminology system.
Cardinality	1...1
Type	Coding
Must Support	True
Summary	True
Requirements	Allows for alternative encodings within a code system, and translations to other code systems.
Comments	Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
MedicationRequest.reasonCode.coding.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.reasonCode.coding.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.reasonCode.coding.system
Definition	The identification of the code system that defines the meaning of the symbol in the code.
Cardinality	0...1
Type	uri
Must Support	True
Summary	True
Requirements	Need to be unambiguous about the source of the definition of the symbol.
Comments	The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
MedicationRequest.reasonCode.coding.version
Definition	The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Cardinality	0...1
Type	string
Must Support	True
Summary	True
Comments	Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
MedicationRequest.reasonCode.coding.code
Definition	A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Cardinality	1...1
Type	code
Must Support	True
Summary	True
Requirements	Need to refer to a particular code in the system.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
MedicationRequest.reasonCode.coding.display
Definition	A representation of the meaning of the code in the system, following the rules of the system.
Cardinality	0...1
Type	string
Summary	True
Requirements	Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
MedicationRequest.reasonCode.coding.userSelected
Definition	Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Cardinality	0...1
Type	boolean
Summary	True
Requirements	This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Comments	Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
MedicationRequest.reasonCode.text
Definition	If no code could be chosen from "Nationell källa för ordinationsorsak" an other reason may be entered here.
Cardinality	0...1
Type	string
Must Support	True
Summary	True
Requirements	The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Comments	Maximum string length: 255
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText EHM: Beskrivning annan behandlingsorsak
MedicationRequest.reasonReference
Definition	Condition or observation that supports why the medication was ordered.
Cardinality	0...*
Type	Reference(Condition \| Observation)
Comments	This is a reference to a condition or observation that is the reason for the medication order. If only a code exists, use reasonCode.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Request.reasonReference script10.6: no mapping w5: FiveWs.why[x] rim: reason.observation[code=ASSERTION].value
MedicationRequest.instantiatesCanonical
Definition	The URL pointing to a protocol, guideline, orderset, or other definition that is adhered to in whole or in part by this MedicationRequest.
Cardinality	0...*
Type	canonical()
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Request.instantiates rim: .outboundRelationship[typeCode=DEFN].target
MedicationRequest.instantiatesUri
Definition	The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this MedicationRequest.
Cardinality	0...*
Type	uri
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: .outboundRelationship[typeCode=DEFN].target
MedicationRequest.basedOn
Definition	A plan or request that is fulfilled in whole or in part by this medication request.
Cardinality	0...*
Type	Reference(CarePlan \| MedicationRequest \| ServiceRequest \| ImmunizationRecommendation)
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Request.basedOn rim: .outboundRelationship[typeCode=FLFS].target[classCode=SBADM or PROC or PCPR or OBS, moodCode=RQO orPLAN or PRP]
MedicationRequest.groupIdentifier
Definition	A shared identifier common to all requests that were authorized more or less simultaneously by a single author, representing the identifier of the requisition or prescription.
Cardinality	0...1
Type	Identifier
Summary	True
Requirements	Requests are linked either by a "basedOn" relationship (i.e. one request is fulfilling another) or by having a common requisition. Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Request.groupIdentifier rim: .outboundRelationship(typeCode=COMP].target[classCode=SBADM, moodCode=INT].id
MedicationRequest.courseOfTherapyType
Definition	The description of the overall patte3rn of the administration of the medication to the patient.
Cardinality	0...1
Type	CodeableConcept
Binding	Identifies the overall pattern of medication administratio. medicationRequest Course of Therapy Codes (example)
Comments	This attribute should not be confused with the protocol of the medication.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: Act.code where classCode = LIST and moodCode = EVN
MedicationRequest.insurance
Definition	Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be required for delivering the requested service.
Cardinality	0...*
Type	Reference(Coverage \| ClaimResponse)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Request.insurance rim: .outboundRelationship[typeCode=COVBY].target
MedicationRequest.note
Definition	Prescriptions in the Swedish National Medication List can contain 4 different kinds of notes: pre=Prescribers comment (Förskrivarens kommentar, read/write) pha=Pharmacists comment (Apotekets kommentar, read/write) not=Prescribers note (Notat förskrivare, read only, will be deprecated) dli=Delivery message (Leveransmeddelande, read only, will be deprecated)
Cardinality	0...4
Type	NLLAnnotation
Must Support	True
Comments	For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible).
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Request.note script10.6: Message/Body/NewRx/MedicationPrescribed/Note rim: .inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code="annotation"].value rim: n/a v2: N/A rim: Act EHM: Apotekets kommentar, Förskrivarens kommentar, Leveransmeddelande, Notat förskrivare
MedicationRequest.note.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.note.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	1...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.note.extension:nllMedReqNoteType
Definition	Optional Extension Element - found in all resources.
Cardinality	1...1
Type	Extension(code)
Must Support	True
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a rim: N/A
MedicationRequest.note.extension:nllMedReqNoteType.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.note.extension:nllMedReqNoteType.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.note.extension:nllMedReqNoteType.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1...1
Type	uri
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	http://electronichealth.se/fhir/StructureDefinition/NLLMedReqNoteType
Mappings	rim: N/A
MedicationRequest.note.extension:nllMedReqNoteType.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).
Cardinality	1...1
Type	code
Binding	medreq-note-types (required)
Must Support	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
MedicationRequest.note.author[x]
Definition	The individual responsible for making the annotation.
Cardinality	0...1
Type	Reference(Practitioner \| Patient \| RelatedPerson \| Organization)
Summary	True
Comments	Organization is used when there's no need for specific attribution as to who made the comment.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: N/A rim: Act.participant[typeCode=AUT].role
MedicationRequest.note.time
Definition	Indicates when this particular annotation was made.
Cardinality	0...1
Type	dateTime
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: N/A rim: Act.effectiveTime
MedicationRequest.note.text
Definition	The text of the annotation in markdown format.
Cardinality	1...1
Type	markdown
Must Support	True
Summary	True
Comments	Maximum string length prescribers comment (Förskrivarens kommentar): 35 Maximum string length pharmacists comment (Apotekets kommentar): 512 Maximum string length prescribers note (Notat förskrivare): 255 Maximum string length delivery message (Leveransmeddelande): 35
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: N/A rim: Act.text
MedicationRequest.dosageInstruction
Definition	Mandatory for medications and technical spirit
Cardinality	0...*
Type	NLLDosage
Must Support	True
Comments	There are examples where a medication request may include the option of an oral dose or an Intravenous or Intramuscular dose. For example, "Ondansetron 8mg orally or IV twice a day as needed for nausea" or "Compazine® (prochlorperazine) 5-10mg PO or 25mg PR bid prn nausea or vomiting". In these cases, two medication requests would be created that could be grouped together. The decision on which dose and route of administration to use is based on the patient's condition at the time the dose is needed.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Request.occurrence[x] rim: see dosageInstruction mapping rim: n/a rim: .outboundRelationship[typeCode=COMP].target[classCode=SBADM, moodCode=INT]
MedicationRequest.dosageInstruction.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.dosageInstruction.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.dosageInstruction.extension:nllObservandumDose
Definition	Indicates that the prescriber has made a conscious choice where the dose exceeds what is recommended for the prescribed medication.
Cardinality	0...1
Type	Extension(boolean)
Must Support	True
Alias	extensions, user content
Comments	NB! The same value must be provided in this element on each sequence / subsequence.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a rim: N/A EHM: Obs. överstiger rekommenderad dos
MedicationRequest.dosageInstruction.extension:nllAdministeringInstruction
Definition	Administration instructions put in terms that are comprehensible to the patient. This shall be generated from the structured administration information attributes.
Cardinality	0...1
Type	Extension(string)
Must Support	True
Alias	extensions, user content
Comments	Maximum string length: 512 <br> NB! The same value must be provided in this element on each sequence / subsequence.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a rim: N/A EHM: Administreringsinstruktion
MedicationRequest.dosageInstruction.extension:nllAdministeringInstruction.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.dosageInstruction.extension:nllAdministeringInstruction.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.dosageInstruction.extension:nllAdministeringInstruction.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1...1
Type	uri
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	http://electronichealth.se/fhir/StructureDefinition/NLLAdministeringInstruction
Mappings	rim: N/A
MedicationRequest.dosageInstruction.extension:nllAdministeringInstruction.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).
Cardinality	0...1
Type	string
Must Support	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A EHM: Administreringsinstruktion
MedicationRequest.dosageInstruction.extension:nllMedicalDevice
Definition	Medical device to use for administration.
Cardinality	0...1
Type	Extension(CodeableConcept)
Must Support	True
Alias	extensions, user content
Requirements	If there is no appropriate coded value, then the code OTH=Other should be used together with the free text element "text”
Comments	NB! The same value must be provided in this element on each sequence / subsequence.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a rim: N/A EHM: Medicinteknisk produkt vid läkemedelsadministrering
MedicationRequest.dosageInstruction.extension:nllMedicalDevice.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.dosageInstruction.extension:nllMedicalDevice.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.dosageInstruction.extension:nllMedicalDevice.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1...1
Type	uri
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	http://electronichealth.se/fhir/StructureDefinition/NLLMedicalDevice
Mappings	rim: N/A
MedicationRequest.dosageInstruction.extension:nllMedicalDevice.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).
Cardinality	1...1
Type	CodeableConcept
Must Support	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
MedicationRequest.dosageInstruction.extension:nllMedicalDevice.value[x].id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.dosageInstruction.extension:nllMedicalDevice.value[x].extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.dosageInstruction.extension:nllMedicalDevice.value[x].coding
Definition	A reference to a code defined by a terminology system.
Cardinality	0...1
Type	Coding
Binding	http://electronichealth.se/fhir/ValueSet/nll-snomed-medical-device (required)
Must Support	True
Summary	True
Requirements	Allows for alternative encodings within a code system, and translations to other code systems.
Comments	Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
MedicationRequest.dosageInstruction.extension:nllMedicalDevice.value[x].coding.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.dosageInstruction.extension:nllMedicalDevice.value[x].coding.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.dosageInstruction.extension:nllMedicalDevice.value[x].coding.system
Definition	The identification of the code system that defines the meaning of the symbol in the code.
Cardinality	0...1
Type	uri
Must Support	True
Summary	True
Requirements	Need to be unambiguous about the source of the definition of the symbol.
Comments	The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
MedicationRequest.dosageInstruction.extension:nllMedicalDevice.value[x].coding.version
Definition	The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Cardinality	0...1
Type	string
Must Support	True
Summary	True
Comments	Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
MedicationRequest.dosageInstruction.extension:nllMedicalDevice.value[x].coding.code
Definition	A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Cardinality	1...1
Type	code
Must Support	True
Summary	True
Requirements	Need to refer to a particular code in the system.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
MedicationRequest.dosageInstruction.extension:nllMedicalDevice.value[x].coding.display
Definition	A representation of the meaning of the code in the system, following the rules of the system.
Cardinality	0...1
Type	string
Summary	True
Requirements	Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
MedicationRequest.dosageInstruction.extension:nllMedicalDevice.value[x].coding.userSelected
Definition	Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Cardinality	0...1
Type	boolean
Summary	True
Requirements	This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Comments	Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
MedicationRequest.dosageInstruction.extension:nllMedicalDevice.value[x].text
Definition	A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Cardinality	0...1
Type	string
Must Support	True
Summary	True
Requirements	The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Comments	Maximum string length: 256
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText EHM: Beskrivning annan medicinteknisk produkt
MedicationRequest.dosageInstruction.extension:nllSubSequence
Definition	Indicates the order of subqeuences within a sequence.
Cardinality	0...1
Type	Extension(integer)
Must Support	True
Alias	extensions, user content
Requirements	Only used in dosage type "tillfällesdosering”, using "timeOfDay" or "when"
Comments	The purpose of a subsequence is to provide a repeating mechanism within a sequence. Subsequences enable communication of irregular dosage schedules that should be repeated within a sequence. <br> NB! There are a number of elements that must contain the same values on each sequence and subsequence. For example the dose unit and dose rate unit, the site, route and method and the asNeeded-attribute.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a rim: N/A EHM: Subsekvens
MedicationRequest.dosageInstruction.extension:nllDosageType
Definition	Calculated by the Swedish eHealth Agency. The dosage type that matches the provided set of dosage data.
Cardinality	0...1
Type	Extension(code)
Must Support	True
Alias	extensions, user content
Comments	_
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a rim: N/A EHM: Doseringstyp
MedicationRequest.dosageInstruction.extension:nllSiteQualifier
Definition	Qualified adminsitration site is used when more exact information about the site is needed.
Cardinality	0...1
Type	Extension(CodeableConcept)
Must Support	True
Alias	extensions, user content
Requirements	To be used only when combinated with MedicationRequest.dosageInstruction.site.coding If there is no appropriate coded value, then the code OTH=Other must be used in combination the free text attribute "text".
Comments	NB! The same value must be provided in this element on each sequence / subsequence.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a rim: N/A EHM: Precisering av administreringsställe
MedicationRequest.dosageInstruction.extension:nllSiteQualifier.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.dosageInstruction.extension:nllSiteQualifier.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.dosageInstruction.extension:nllSiteQualifier.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1...1
Type	uri
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	http://electronichealth.se/fhir/StructureDefinition/NLLSiteQualifier
Mappings	rim: N/A
MedicationRequest.dosageInstruction.extension:nllSiteQualifier.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).
Cardinality	1...1
Type	CodeableConcept
Must Support	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
MedicationRequest.dosageInstruction.extension:nllSiteQualifier.value[x].id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.dosageInstruction.extension:nllSiteQualifier.value[x].extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.dosageInstruction.extension:nllSiteQualifier.value[x].coding
Definition	A reference to a code defined by a terminology system.
Cardinality	1...1
Type	Coding
Binding	http://electronichealth.se/fhir/ValueSet/nll-snomed-qualifier (required)
Must Support	True
Summary	True
Requirements	Allows for alternative encodings within a code system, and translations to other code systems.
Comments	Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
MedicationRequest.dosageInstruction.extension:nllSiteQualifier.value[x].coding.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.dosageInstruction.extension:nllSiteQualifier.value[x].coding.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.dosageInstruction.extension:nllSiteQualifier.value[x].coding.system
Definition	The identification of the code system that defines the meaning of the symbol in the code.
Cardinality	0...1
Type	uri
Must Support	True
Summary	True
Requirements	Need to be unambiguous about the source of the definition of the symbol.
Comments	The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
MedicationRequest.dosageInstruction.extension:nllSiteQualifier.value[x].coding.version
Definition	The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Cardinality	0...1
Type	string
Must Support	True
Summary	True
Comments	Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
MedicationRequest.dosageInstruction.extension:nllSiteQualifier.value[x].coding.code
Definition	A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Cardinality	1...1
Type	code
Must Support	True
Summary	True
Requirements	Need to refer to a particular code in the system.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code EHM: Precisering av administreringsställe
MedicationRequest.dosageInstruction.extension:nllSiteQualifier.value[x].coding.display
Definition	A representation of the meaning of the code in the system, following the rules of the system.
Cardinality	0...1
Type	string
Summary	True
Requirements	Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
MedicationRequest.dosageInstruction.extension:nllSiteQualifier.value[x].coding.userSelected
Definition	Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Cardinality	0...1
Type	boolean
Summary	True
Requirements	This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Comments	Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
MedicationRequest.dosageInstruction.extension:nllSiteQualifier.value[x].text
Definition	A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Cardinality	0...1
Type	string
Must Support	True
Summary	True
Requirements	The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Comments	Maximum string length: 256
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText EHM: Beskrivning annan precisering av administreringsställe
MedicationRequest.dosageInstruction.modifierExtension
Definition	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality	0...*
Type	Extension
Modifier	True
Summary	True
Alias	extensions, user content, modifiers
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: N/A
MedicationRequest.dosageInstruction.sequence
Definition	Indicates the order in which the dosage instructions should be applied or interpreted.
Cardinality	1...1
Type	integer
Must Support	True
Summary	True
Requirements	If the sequence number of multiple Dosages is the same, then it is implied that the instructions are to be treated as concurrent. If the sequence number is different, then the Dosages are intended to be sequential.
Comments	NB! There are a number of elements that must contain the same values on each sequence and subsequence. For example the dose unit and dose rate unit, the site, route and method and the asNeeded-attribute.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: TQ1-1 rim: .text EHM: Sekvens
MedicationRequest.dosageInstruction.text
Definition	Free text dosage
Cardinality	0...1
Type	string
Must Support	True
Summary	True
Requirements	In the Swedish National Medication List there will be either a free text dosage or coded dosage instructions, never both.
Comments	Maximum string length: 512
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: RXO-6; RXE-21 rim: .text EHM: Fritextdosering
MedicationRequest.dosageInstruction.additionalInstruction
Definition	Supplemental instructions to the patient on how to take the medication (e.g. "with meals" or"take half to one hour before food") or warnings for the patient about the medication (e.g. "may cause drowsiness" or "avoid exposure of skin to direct sunlight or sunlamps").
Cardinality	0...1
Type	CodeableConcept
Binding	A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". SNOMEDCTAdditionalDosageInstructions (example)
Must Support	True
Summary	True
Requirements	In the Swedish National Medication List Additional instruction is written in free text.
Comments	NB! The same value must be provided in this element on each sequence / subsequence.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: RXO-7 rim: .text
MedicationRequest.dosageInstruction.additionalInstruction.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.dosageInstruction.additionalInstruction.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.dosageInstruction.additionalInstruction.coding
Definition	A reference to a code defined by a terminology system.
Cardinality	0...*
Type	Coding
Summary	True
Requirements	Allows for alternative encodings within a code system, and translations to other code systems.
Comments	Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
MedicationRequest.dosageInstruction.additionalInstruction.text
Definition	A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Cardinality	0...1
Type	string
Must Support	True
Summary	True
Requirements	In the Swedish National Medication List Additional instruction is written in free text.
Comments	Maximum string length: 512
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText EHM: Annan instruktion
MedicationRequest.dosageInstruction.patientInstruction
Definition	Dosage instructions in terms that are understood by the patient.
Cardinality	1...1
Type	string
Must Support	True
Summary	True
Comments	Maximum string length: 512 <br> NB! The same value must be provided in this element on each sequence / subsequence.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: RXO-7 rim: .text EHM: Doseringsinstruktion
MedicationRequest.dosageInstruction.timing
Definition	When medication should be administered.
Cardinality	0...1
Type	Timing
Must Support	True
Summary	True
Requirements	The timing schedule for giving the medication to the patient. This data type allows many different expressions. For example: "Every 8 hours"; "Three times a day"; "1/2 an hour before breakfast for 10 days from 23-Dec 2011:"; "15 Oct 2013, 17 Oct 2013 and 1 Nov 2013". Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period.
Comments	_
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: .effectiveTime
MedicationRequest.dosageInstruction.timing.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.dosageInstruction.timing.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.dosageInstruction.timing.modifierExtension
Definition	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality	0...*
Type	Extension
Modifier	True
Summary	True
Alias	extensions, user content, modifiers
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: N/A
MedicationRequest.dosageInstruction.timing.event
Definition	Identifies specific times when the event occurs.
Cardinality	0...*
Type	dateTime
Summary	True
Requirements	In a Medication Administration Record, for instance, you need to take a general specification, and turn it into a precise specification.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: QLIST<TS>
MedicationRequest.dosageInstruction.timing.repeat
Definition	A set of rules that describe when the event is scheduled.
Cardinality	0...1
Type	Element
Must Support	True
Summary	True
Requirements	Many timing schedules are determined by regular repetitions.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` tim-1: if there's a duration, there needs to be duration units `duration.empty() or durationUnit.exists()` tim-2: if there's a period, there needs to be period units `period.empty() or periodUnit.exists()` tim-4: duration SHALL be a non-negative value `duration.exists() implies duration >= 0` tim-5: period SHALL be a non-negative value `period.exists() implies period >= 0` tim-6: If there's a periodMax, there must be a period `periodMax.empty() or period.exists()` tim-7: If there's a durationMax, there must be a duration `durationMax.empty() or duration.exists()` tim-8: If there's a countMax, there must be a count `countMax.empty() or count.exists()` tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) `offset.empty() or (when.exists() and ((when in ('C' \| 'CM' \| 'CD' \| 'CV')).not()))` tim-10: If there's a timeOfDay, there cannot be a when, or vice versa `timeOfDay.empty() or when.empty()`
Mappings	rim: Implies PIVL or EIVL
MedicationRequest.dosageInstruction.timing.repeat.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.dosageInstruction.timing.repeat.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.dosageInstruction.timing.repeat.extension:nllSubSequenceDuration
Definition	The duration of the subsequence. This can only be used if there is a subsequence within the sequence. The length of a subsequence is always in the form of a quantity (never a range) and it can only be expressed in days, not hours, weeks or months.
Cardinality	0...1
Type	Extension(Quantity)
Must Support	True
Alias	extensions, user content
Requirements	Used for the dosage type "tillfällesdosering".
Comments	_
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a rim: N/A EHM: Längd doseringsdelsteg
MedicationRequest.dosageInstruction.timing.repeat.bounds[x]
Definition	Either a duration for the length of the timing schedule, a range of possible length, or outer bounds for start and/or end limits of the timing schedule.
Cardinality	0...1
Type	Duration
Must Support	True
Summary	True
Slicing	Unordered, Open, by $this(Type)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: IVL(TS) used in a QSI
MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration
Definition	A duration for the length of the timing schedule.
Cardinality	0...1
Type	Duration
Must Support	True
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: IVL(TS) used in a QSI EHM: Längd doseringssteg
MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration.value
Definition	The value of the measured amount. The value includes an implicit precision in the presentation of the value.
Cardinality	1...1
Type	decimal
Must Support	True
Summary	True
Requirements	Precision is handled implicitly in almost all cases of measurement.
Comments	The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: SN.2 / CQ - N/A rim: PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value EHM: Längd doseringssteg
MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration.comparator
Definition	How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value.
Cardinality	0...1
Type	code
Binding	How the Quantity should be understood and represented. QuantityComparator (required)
Modifier	True
Summary	True
Requirements	Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: SN.1 / CQ.1 rim: IVL properties
MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration.unit
Definition	A human-readable form of the unit.
Cardinality	0...1
Type	string
Summary	True
Requirements	There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: (see OBX.6 etc.) / CQ.2 rim: PQ.unit
MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration.system
Definition	The identification of the system that provides the coded form of the unit.
Cardinality	0...1
Type	uri
Must Support	True
Summary	True
Requirements	Need to know the system that defines the coded form of the unit.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: (see OBX.6 etc.) / CQ.2 rim: CO.codeSystem, PQ.translation.codeSystem
MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration.code
Definition	A computer processable form of the unit in some unit representation system.
Cardinality	1...1
Type	code
Binding	sequence-length-units (required)
Must Support	True
Summary	True
Requirements	Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.
Comments	The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Fixed Value	d
Mappings	v2: (see OBX.6 etc.) / CQ.2 rim: PQ.code, MO.currency, PQ.translation.code EHM: Enhet längd doseringssteg
MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange
Definition	A range of possible length.
Cardinality	0...1
Type	Range
Must Support	True
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: IVL(TS) used in a QSI EHM: Längd doseringssteg min/max
MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.low
Definition	The low limit. The boundary is inclusive.
Cardinality	1...1
Type	SimpleQuantity
Must Support	True
Summary	True
Comments	If the low element is missing, the low boundary is not known.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: NR.1 rim: ./low EHM: Min längd doseringssteg
MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.low.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.low.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.low.value
Definition	The value of the measured amount. The value includes an implicit precision in the presentation of the value.
Cardinality	1...1
Type	decimal
Must Support	True
Summary	True
Requirements	Precision is handled implicitly in almost all cases of measurement.
Comments	The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: SN.2 / CQ - N/A rim: PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value EHM: Min längd doseringssteg
MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.low.comparator
Definition	Not allowed to be used in this context
Cardinality	0...0
Type	code
Binding	How the Quantity should be understood and represented. QuantityComparator (required)
Modifier	True
Summary	True
Requirements	Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: SN.1 / CQ.1 rim: IVL properties
MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.low.unit
Definition	A human-readable form of the unit.
Cardinality	0...1
Type	string
Summary	True
Requirements	There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: (see OBX.6 etc.) / CQ.2 rim: PQ.unit
MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.low.system
Definition	The identification of the system that provides the coded form of the unit.
Cardinality	0...1
Type	uri
Must Support	True
Summary	True
Requirements	Need to know the system that defines the coded form of the unit.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: (see OBX.6 etc.) / CQ.2 rim: CO.codeSystem, PQ.translation.codeSystem
MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.low.code
Definition	A computer processable form of the unit in some unit representation system.
Cardinality	1...1
Type	code
Binding	sequence-length-units (required)
Must Support	True
Summary	True
Requirements	Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.
Comments	The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Fixed Value	d
Mappings	v2: (see OBX.6 etc.) / CQ.2 rim: PQ.code, MO.currency, PQ.translation.code EHM: Enhet min längd doseringssteg
MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.high
Definition	The high limit. The boundary is inclusive.
Cardinality	1...1
Type	SimpleQuantity
Must Support	True
Summary	True
Comments	If the high element is missing, the high boundary is not known.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: NR.2 rim: ./high EHM: Max längd doseringssteg
MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.high.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.high.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.high.value
Definition	The value of the measured amount. The value includes an implicit precision in the presentation of the value.
Cardinality	1...1
Type	decimal
Must Support	True
Summary	True
Requirements	Precision is handled implicitly in almost all cases of measurement.
Comments	The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: SN.2 / CQ - N/A rim: PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value EHM: Max längd doseringssteg
MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.high.comparator
Definition	Not allowed to be used in this context
Cardinality	0...0
Type	code
Binding	How the Quantity should be understood and represented. QuantityComparator (required)
Modifier	True
Summary	True
Requirements	Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: SN.1 / CQ.1 rim: IVL properties
MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.high.unit
Definition	A human-readable form of the unit.
Cardinality	0...1
Type	string
Summary	True
Requirements	There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: (see OBX.6 etc.) / CQ.2 rim: PQ.unit
MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.high.system
Definition	The identification of the system that provides the coded form of the unit.
Cardinality	0...1
Type	uri
Must Support	True
Summary	True
Requirements	Need to know the system that defines the coded form of the unit.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: (see OBX.6 etc.) / CQ.2 rim: CO.codeSystem, PQ.translation.codeSystem
MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.high.code
Definition	A computer processable form of the unit in some unit representation system.
Cardinality	1...1
Type	code
Binding	sequence-length-units (required)
Must Support	True
Summary	True
Requirements	Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.
Comments	The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Fixed Value	d
Mappings	v2: (see OBX.6 etc.) / CQ.2 rim: PQ.code, MO.currency, PQ.translation.code EHM: Enhet max längd doseringssteg
MedicationRequest.dosageInstruction.timing.repeat.count
Definition	A total count of the desired number of repetitions across the duration of the entire timing specification.
Cardinality	0...1
Type	positiveInt
Must Support	True
Summary	True
Requirements	In the Swedish National Medication List count is used for describing single dosages that occur one (1) time. The only value allowed is count=1
Comments	If you have both bounds and count, then this should be understood as within the bounds period, until count times happens.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: PIVL.count EHM: Antal upprepningar
MedicationRequest.dosageInstruction.timing.repeat.countMax
Definition	If present, indicates that the count is a range - so to perform the action between [count] and [countMax] times.
Cardinality	0...1
Type	positiveInt
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: PIVL.count
MedicationRequest.dosageInstruction.timing.repeat.duration
Definition	Duration of the administration of the medication
Cardinality	0...1
Type	decimal
Must Support	True
Summary	True
Requirements
Comments	Duration is handled with a maximum precision of 4 decimals. Corresponding regex: (0\|[1-9][0-9]*)(.[0-9][0-9][0-9][0-9])
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: PIVL.phase EHM: Administreringstillfällets varaktighet
MedicationRequest.dosageInstruction.timing.repeat.durationMax
Definition	If present, indicates that the duration is a range - so to perform the action between [duration] and [durationMax] time length.
Cardinality	0...1
Type	decimal
Summary	True
Requirements	Some activities are not instantaneous and need to be maintained for a period of time.
Comments	For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise).
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: PIVL.phase
MedicationRequest.dosageInstruction.timing.repeat.durationUnit
Definition	The units of time for the duration, in UCUM units.
Cardinality	0...1
Type	code
Binding	A unit of time (units from UCUM). dose-duration-units (required)
Must Support	True
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: PIVL.phase.unit EHM: Enhet för administreringstillfällets varaktighet
MedicationRequest.dosageInstruction.timing.repeat.frequency
Definition	The number of times to repeat the action within the specified period. If frequencyMax is present, this element indicates the lower bound of the allowed range of the frequency.
Cardinality	0...1
Type	positiveInt
Must Support	True
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: PIVL.phase EHM: Antal administreringar
MedicationRequest.dosageInstruction.timing.repeat.frequencyMax
Definition	If present, indicates that the frequency is a range - so to repeat between [frequency] and [frequencyMax] times within the period or period range.
Cardinality	0...1
Type	positiveInt
Must Support	True
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: PIVL.phase EHM: Antal administreringar max
MedicationRequest.dosageInstruction.timing.repeat.period
Definition	Indicates the duration of time over which repetitions are to occur; e.g. to express "3 times per day", 3 would be the frequency and "1 day" would be the period. If periodMax is present, this element indicates the lower bound of the allowed range of the period length.
Cardinality	0...1
Type	decimal
Must Support	True
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: PIVL.phase EHM: Period
MedicationRequest.dosageInstruction.timing.repeat.periodMax
Definition	If present, indicates that the period is a range from [period] to [periodMax], allowing expressing concepts such as "do this once every 3-5 days.
Cardinality	0...1
Type	decimal
Must Support	True
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: PIVL.phase EHM: Period max
MedicationRequest.dosageInstruction.timing.repeat.periodUnit
Definition	The units of time for the period in UCUM units.
Cardinality	0...1
Type	code
Binding	A unit of time (units from UCUM). dose-period-units (required)
Must Support	True
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: PIVL.phase.unit EHM: Periodenhet
MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek
Definition	If one or more days of week is provided, then the action happens only on the specified day(s).
Cardinality	0...*
Type	code
Binding	DaysOfWeek (required)
Must Support	True
Summary	True
Comments	If no days are specified, the action is assumed to happen every day as otherwise specified. The elements frequency and period cannot be used as well as dayOfWeek.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a EHM: Veckodag
MedicationRequest.dosageInstruction.timing.repeat.timeOfDay
Definition	Specified time of day for action to take place. Must currently be expressed on the hour, i.e. 11:00 or 15:00. This may be changed after the transition period (övergångs-perioden) so that half hours, i.e. 11:30, are allowed, as well. When time of day is specified, it is inferred that the action happens every day (as filtered by dayofWeek) on the specified times.
Cardinality	0...*
Type	time
Must Support	True
Summary	True
Requirements	Used for the dosage type "tillfällesdosering". The elements “when, frequency and period” cannot be used with the element “timeOfDay” simultaneously.
Comments	When time of day is specified, it is inferred that the action happens every day (as filtered by dayofWeek) on the specified times. The elements when, frequency and period cannot be used as well as timeOfDay.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a EHM: Klockslag
MedicationRequest.dosageInstruction.timing.repeat.when
Definition	An approximate time period during the day, potentially linked to an event of daily living that indicates when the action should occur.
Cardinality	0...*
Type	code
Binding	Real world event relating to the schedule. nll-event-timing (required)
Must Support	True
Summary	True
Requirements	Timings are frequently determined by occurrences such as waking, eating and sleep.
Comments	_
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: EIVL.event EHM: Period på dygnet
MedicationRequest.dosageInstruction.timing.repeat.offset
Definition	The number of minutes from the event. If the event code does not indicate whether the minutes is before or after the event, then the offset is assumed to be after the event.
Cardinality	0...1
Type	unsignedInt
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: EIVL.offset
MedicationRequest.dosageInstruction.timing.code
Definition	A code for the timing schedule (or just text in code.text). Some codes such as BID are ubiquitous, but many institutions define their own additional codes. If a code is provided, the code is understood to be a complete statement of whatever is specified in the structured timing data, and either the code or the data may be used to interpret the Timing, with the exception that .repeat.bounds still applies over the code (and is not contained in the code).
Cardinality	0...1
Type	CodeableConcept
Binding	Code for a known / defined timing pattern. TimingAbbreviation (preferred)
Summary	True
Comments	BID etc. are defined as 'at institutionally specified times'. For example, an institution may choose that BID is "always at 7am and 6pm". If it is inappropriate for this choice to be made, the code BID should not be used. Instead, a distinct organization-specific code should be used in place of the HL7-defined BID code and/or a structured representation should be used (in this case, specifying the two event times).
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: QSC.code
MedicationRequest.dosageInstruction.asNeeded[x]
Definition	Indicates that the medication only should be taken when needed.
Cardinality	0...1
Type	boolean
Must Support	True
Summary	True
Comments	NB! The same value must be provided in this element on each sequence / subsequence.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: TQ1-9 rim: .outboundRelationship[typeCode=PRCN].target[classCode=OBS, moodCode=EVN, code="as needed"].value=boolean or codable concept EHM: Vid behov
MedicationRequest.dosageInstruction.site
Definition	Site of administration.
Cardinality	0...1
Type	CodeableConcept
Binding	A coded concept describing the site location the medicine enters into or onto the body. SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example)
Must Support	True
Summary	True
Requirements	A coded specification of the anatomic site where the medication first enters the body. If there is no appropriate coded value, then the code OTH=Other should be used together with the free text attribute "text".
Comments	NB! The same value must be provided in this element on each sequence / subsequence.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: RXR-2 rim: .approachSiteCode EHM: Administreringsställe
MedicationRequest.dosageInstruction.site.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.dosageInstruction.site.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.dosageInstruction.site.coding
Definition	A reference to a code defined by a terminology system.
Cardinality	1...1
Type	Coding
Binding	Snomed CT codes for administration site, as stipulated by NLL (terminology server). http://electronichealth.se/fhir/ValueSet/nll-snomed-site (required)
Must Support	True
Summary	True
Requirements	Allows for alternative encodings within a code system, and translations to other code systems.
Comments	_
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
MedicationRequest.dosageInstruction.site.coding.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.dosageInstruction.site.coding.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.dosageInstruction.site.coding.system
Definition	The identification of the code system that defines the meaning of the symbol in the code.
Cardinality	0...1
Type	uri
Must Support	True
Summary	True
Requirements	Need to be unambiguous about the source of the definition of the symbol.
Comments	The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
MedicationRequest.dosageInstruction.site.coding.version
Definition	The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Cardinality	0...1
Type	string
Must Support	True
Summary	True
Comments	Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
MedicationRequest.dosageInstruction.site.coding.code
Definition	A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Cardinality	1...1
Type	code
Must Support	True
Summary	True
Requirements	Need to refer to a particular code in the system.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
MedicationRequest.dosageInstruction.site.coding.display
Definition	A representation of the meaning of the code in the system, following the rules of the system.
Cardinality	0...1
Type	string
Summary	True
Requirements	Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
MedicationRequest.dosageInstruction.site.coding.userSelected
Definition	Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Cardinality	0...1
Type	boolean
Summary	True
Requirements	This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Comments	Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
MedicationRequest.dosageInstruction.site.text
Definition	A human language representation of the administration site. Used when no specific code can describe the site and the code 'OTH' has been selected.
Cardinality	0...1
Type	string
Must Support	True
Summary	True
Requirements	The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Comments	Maximum string length: 256
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText EHM: Beskrivning annat administreringsställe
MedicationRequest.dosageInstruction.route
Definition	How the medication should enter the body.
Cardinality	0...1
Type	CodeableConcept
Binding	A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. SNOMEDCTRouteCodes (example)
Must Support	True
Summary	True
Requirements	A code specifying the route or physiological path of administration of a therapeutic agent into or onto a patient's body. If there is no appropriate coded value, then the code OTH=Other must be used together with the free text attribute "text".
Comments	NB! The same value must be provided in this element on each sequence / subsequence.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: RXR-1 rim: .routeCode EHM: Administreringsväg
MedicationRequest.dosageInstruction.route.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.dosageInstruction.route.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.dosageInstruction.route.coding
Definition	A reference to a code defined by a terminology system.
Cardinality	1...1
Type	Coding
Binding	Snomed CT codes for administration route, as stipulated by NLL http://electronichealth.se/fhir/ValueSet/nll-snomed-route (required)
Must Support	True
Summary	True
Requirements	Allows for alternative encodings within a code system, and translations to other code systems.
Comments	_
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
MedicationRequest.dosageInstruction.route.coding.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.dosageInstruction.route.coding.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.dosageInstruction.route.coding.system
Definition	The identification of the code system that defines the meaning of the symbol in the code.
Cardinality	0...1
Type	uri
Must Support	True
Summary	True
Requirements	Need to be unambiguous about the source of the definition of the symbol.
Comments	The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
MedicationRequest.dosageInstruction.route.coding.version
Definition	The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Cardinality	0...1
Type	string
Must Support	True
Summary	True
Comments	Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
MedicationRequest.dosageInstruction.route.coding.code
Definition	A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Cardinality	1...1
Type	code
Must Support	True
Summary	True
Requirements	Need to refer to a particular code in the system.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
MedicationRequest.dosageInstruction.route.coding.display
Definition	A representation of the meaning of the code in the system, following the rules of the system.
Cardinality	0...1
Type	string
Summary	True
Requirements	Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
MedicationRequest.dosageInstruction.route.coding.userSelected
Definition	Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Cardinality	0...1
Type	boolean
Summary	True
Requirements	This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Comments	Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
MedicationRequest.dosageInstruction.route.text
Definition	A human language representation of the administration route. Used when no specific code can describe the route and the code 'OTH' has been selected.
Cardinality	0...1
Type	string
Must Support	True
Summary	True
Requirements	The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Comments	Maximum string length: 256
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText EHM: Beskrivning annan administreringsväg
MedicationRequest.dosageInstruction.method
Definition	Method used for administering the medication.
Cardinality	0...1
Type	CodeableConcept
Binding	A coded concept describing the technique by which the medicine is administered. SNOMEDCTAdministrationMethodCodes (example)
Must Support	True
Summary	True
Requirements	A coded value indicating the method by which the medication is introduced into or onto the body. If there is no appropriate coded value, then the code OTH=Other should be used together with the free text attribute "text".
Comments	NB! The same value must be provided in this element on each sequence / subsequence.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: RXR-4 rim: .doseQuantity EHM: Administreringsmetod
MedicationRequest.dosageInstruction.method.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.dosageInstruction.method.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.dosageInstruction.method.coding
Definition	A reference to a code defined by a terminology system.
Cardinality	1...1
Type	Coding
Binding	Snomed CT codes for administration method, as stipulated by NLL (terminology server). http://electronichealth.se/fhir/ValueSet/nll-snomed-method (required)
Must Support	True
Summary	True
Requirements	Allows for alternative encodings within a code system, and translations to other code systems.
Comments	_
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
MedicationRequest.dosageInstruction.method.coding.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.dosageInstruction.method.coding.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.dosageInstruction.method.coding.system
Definition	The identification of the code system that defines the meaning of the symbol in the code.
Cardinality	0...1
Type	uri
Must Support	True
Summary	True
Requirements	Need to be unambiguous about the source of the definition of the symbol.
Comments	The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
MedicationRequest.dosageInstruction.method.coding.version
Definition	The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Cardinality	0...1
Type	string
Must Support	True
Summary	True
Comments	Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
MedicationRequest.dosageInstruction.method.coding.code
Definition	A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Cardinality	1...1
Type	code
Must Support	True
Summary	True
Requirements	Need to refer to a particular code in the system.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
MedicationRequest.dosageInstruction.method.coding.display
Definition	A representation of the meaning of the code in the system, following the rules of the system.
Cardinality	0...1
Type	string
Summary	True
Requirements	Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
MedicationRequest.dosageInstruction.method.coding.userSelected
Definition	Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Cardinality	0...1
Type	boolean
Summary	True
Requirements	This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Comments	Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
MedicationRequest.dosageInstruction.method.text
Definition	A human language representation of the administration method. Used when no specific code can describe the method and the code 'OTH' has been selected.
Cardinality	0...1
Type	string
Must Support	True
Summary	True
Requirements	The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Comments	Maximum string length: 256
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText EHM: Beskrivning annan administreringsmetod
MedicationRequest.dosageInstruction.doseAndRate
Definition	The amount of medication administered.
Cardinality	0...1
Type	Element
Must Support	True
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: TQ1-2
MedicationRequest.dosageInstruction.doseAndRate.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.dosageInstruction.doseAndRate.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.dosageInstruction.doseAndRate.type
Definition	The kind of dose or rate specified, for example, ordered or calculated.
Cardinality	0...1
Type	CodeableConcept
Binding	The kind of dose or rate specified. DoseAndRateType (example)
Summary	True
Requirements	If the type is not populated, assume to be "ordered".
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: RXO-21; RXE-23
MedicationRequest.dosageInstruction.doseAndRate.dose[x]
Definition	Amount of medication per dose.
Cardinality	0...1
Type	Range
Binding	nll-ucum-unit (required)
Must Support	True
Summary	True
Requirements	The amount of therapeutic or other substance given at one administration event.
Comments	_
Slicing	Unordered, Open, by $this(Type)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: RXO-2, RXE-3 rim: .doseQuantity
MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange
Definition	Amount of medication per dose.
Cardinality	0...1
Type	Range
Must Support	True
Summary	True
Requirements	The amount of therapeutic or other substance given at one administration event.
Comments	Note that this specifies the quantity of the specified medication, not the quantity for each active ingredient(s). Each ingredient amount can be communicated in the Medication resource. For example, if one wants to communicate that a tablet was 375 mg, where the dose was one tablet, you can use the Medication resource to document that the tablet was comprised of 375 mg of drug XYZ. Alternatively if the dose was 375 mg, then you may only need to use the Medication resource to indicate this was a tablet. If the example were an IV such as dopamine and you wanted to communicate that 400mg of dopamine was mixed in 500 ml of some IV solution, then this would all be communicated in the Medication resource. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule e.g. 500 ml in dose, with timing used to convey that this should be done over 4 hours.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: RXO-2, RXE-3 rim: .doseQuantity
MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.low
Definition	The low limit. The boundary is inclusive.
Cardinality	1...1
Type	SimpleQuantity
Must Support	True
Summary	True
Comments	If the low element is missing, the low boundary is not known.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: NR.1 rim: ./low EHM: Dos min
MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.low.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.low.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.low.value
Definition	Dose range low value
Cardinality	1...1
Type	decimal
Must Support	True
Summary	True
Requirements
Comments	Dose range low value is handled with a maximum precision of 4 decimals. Corresponding regex: (0\|[1-9][0-9]*)(.[0-9][0-9][0-9][0-9])
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: SN.2 / CQ - N/A rim: PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value EHM: Dos min
MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.low.comparator
Definition	Not allowed to be used in this context
Cardinality	0...0
Type	code
Binding	How the Quantity should be understood and represented. QuantityComparator (required)
Modifier	True
Summary	True
Requirements	Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: SN.1 / CQ.1 rim: IVL properties
MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.low.unit
Definition	A human-readable form of the unit.
Cardinality	0...1
Type	string
Summary	True
Requirements	There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: (see OBX.6 etc.) / CQ.2 rim: PQ.unit
MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.low.system
Definition	The identification of the system that provides the coded form of the unit.
Cardinality	0...1
Type	uri
Must Support	True
Summary	True
Requirements	Need to know the system that defines the coded form of the unit.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: (see OBX.6 etc.) / CQ.2 rim: CO.codeSystem, PQ.translation.codeSystem
MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.low.code
Definition	A computer processable form of the unit in some unit representation system.
Cardinality	1...1
Type	code
Must Support	True
Summary	True
Requirements	Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.
Comments	The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: (see OBX.6 etc.) / CQ.2 rim: PQ.code, MO.currency, PQ.translation.code EHM: Dosenhet min
MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.high
Definition	The high limit. The boundary is inclusive.
Cardinality	1...1
Type	SimpleQuantity
Must Support	True
Summary	True
Comments	If the high element is missing, the high boundary is not known.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: NR.2 rim: ./high EHM: Dos max
MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.high.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.high.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.high.value
Definition	Dose range high value
Cardinality	1...1
Type	decimal
Must Support	True
Summary	True
Requirements
Comments	Dose range high value is handled with a maximum precision of 4 decimals. Corresponding regex: (0\|[1-9][0-9]*)(.[0-9][0-9][0-9][0-9])
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: SN.2 / CQ - N/A rim: PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value EHM: Dos max
MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.high.comparator
Definition	Not allowed to be used in this context
Cardinality	0...0
Type	code
Binding	How the Quantity should be understood and represented. QuantityComparator (required)
Modifier	True
Summary	True
Requirements	Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: SN.1 / CQ.1 rim: IVL properties
MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.high.unit
Definition	A human-readable form of the unit.
Cardinality	0...1
Type	string
Summary	True
Requirements	There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: (see OBX.6 etc.) / CQ.2 rim: PQ.unit
MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.high.system
Definition	The identification of the system that provides the coded form of the unit.
Cardinality	0...1
Type	uri
Must Support	True
Summary	True
Requirements	Need to know the system that defines the coded form of the unit.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: (see OBX.6 etc.) / CQ.2 rim: CO.codeSystem, PQ.translation.codeSystem
MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.high.code
Definition	A computer processable form of the unit in some unit representation system.
Cardinality	1...1
Type	code
Must Support	True
Summary	True
Requirements	Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.
Comments	The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: (see OBX.6 etc.) / CQ.2 rim: PQ.code, MO.currency, PQ.translation.code EHM: Dosenhet max
MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity
Definition	Amount of medication per dose.
Cardinality	0...1
Type	SimpleQuantity
Must Support	True
Summary	True
Requirements	The amount of therapeutic or other substance given at one administration event.
Comments	Note that this specifies the quantity of the specified medication, not the quantity for each active ingredient(s). Each ingredient amount can be communicated in the Medication resource. For example, if one wants to communicate that a tablet was 375 mg, where the dose was one tablet, you can use the Medication resource to document that the tablet was comprised of 375 mg of drug XYZ. Alternatively if the dose was 375 mg, then you may only need to use the Medication resource to indicate this was a tablet. If the example were an IV such as dopamine and you wanted to communicate that 400mg of dopamine was mixed in 500 ml of some IV solution, then this would all be communicated in the Medication resource. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule e.g. 500 ml in dose, with timing used to convey that this should be done over 4 hours.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: RXO-2, RXE-3 rim: .doseQuantity
MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity.value
Definition	Dose quantity value.
Cardinality	0...1
Type	decimal
Must Support	True
Summary	True
Requirements
Comments	Dose quantity value is handled with a maximum precision of 4 decimals. Corresponding regex: (0\|[1-9][0-9]*)(.[0-9][0-9][0-9][0-9])
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: SN.2 / CQ - N/A rim: PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value EHM: Dos
MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity.comparator
Definition	Not allowed to be used in this context
Cardinality	0...0
Type	code
Binding	How the Quantity should be understood and represented. QuantityComparator (required)
Modifier	True
Summary	True
Requirements	Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: SN.1 / CQ.1 rim: IVL properties
MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity.unit
Definition	A human-readable form of the unit.
Cardinality	0...1
Type	string
Summary	True
Requirements	There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: (see OBX.6 etc.) / CQ.2 rim: PQ.unit
MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity.system
Definition	The identification of the system that provides the coded form of the unit.
Cardinality	0...1
Type	uri
Must Support	True
Summary	True
Requirements	Need to know the system that defines the coded form of the unit.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: (see OBX.6 etc.) / CQ.2 rim: CO.codeSystem, PQ.translation.codeSystem
MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity.code
Definition	A computer processable form of the unit in some unit representation system.
Cardinality	0...1
Type	code
Must Support	True
Summary	True
Requirements	Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.
Comments	The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: (see OBX.6 etc.) / CQ.2 rim: PQ.code, MO.currency, PQ.translation.code EHM: Dosenhet
MedicationRequest.dosageInstruction.doseAndRate.rate[x]
Definition	Amount of medication per unit of time.
Cardinality	0...1
Type	SimpleQuantity
Binding	nll-ucum-rate-unit (required)
Must Support	True
Summary	True
Requirements	_
Comments	_
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: RXE22, RXE23, RXE-24 rim: .rateQuantity EHM: Doseringshastighet
MedicationRequest.dosageInstruction.doseAndRate.rate[x].id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.dosageInstruction.doseAndRate.rate[x].extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.dosageInstruction.doseAndRate.rate[x].value
Definition	Rate value
Cardinality	0...1
Type	decimal
Must Support	True
Summary	True
Requirements
Comments	Rate value is handled with a maximum precision of 4 decimals. Corresponding regex: (0\|[1-9][0-9]*)(.[0-9][0-9][0-9][0-9])
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: SN.2 / CQ - N/A rim: PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value EHM: Doseringshastighet
MedicationRequest.dosageInstruction.doseAndRate.rate[x].comparator
Definition	Not allowed to be used in this context
Cardinality	0...0
Type	code
Binding	How the Quantity should be understood and represented. QuantityComparator (required)
Modifier	True
Summary	True
Requirements	Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: SN.1 / CQ.1 rim: IVL properties
MedicationRequest.dosageInstruction.doseAndRate.rate[x].unit
Definition	A human-readable form of the unit.
Cardinality	0...1
Type	string
Summary	True
Requirements	There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: (see OBX.6 etc.) / CQ.2 rim: PQ.unit
MedicationRequest.dosageInstruction.doseAndRate.rate[x].system
Definition	The identification of the system that provides the coded form of the unit.
Cardinality	0...1
Type	uri
Must Support	True
Summary	True
Requirements	Need to know the system that defines the coded form of the unit.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: (see OBX.6 etc.) / CQ.2 rim: CO.codeSystem, PQ.translation.codeSystem
MedicationRequest.dosageInstruction.doseAndRate.rate[x].code
Definition	A computer processable form of the unit in some unit representation system.
Cardinality	1...1
Type	code
Must Support	True
Summary	True
Requirements	Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.
Comments	NB! The same value must be provided in this element on each sequence / subsequence.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: (see OBX.6 etc.) / CQ.2 rim: PQ.code, MO.currency, PQ.translation.code EHM: Doseringshastighetsenhet
MedicationRequest.dosageInstruction.maxDosePerPeriod
Definition	Upper limit on medication per day.
Cardinality	0...1
Type	Ratio
Must Support	True
Summary	True
Requirements	The maximum total quantity of a therapeutic substance that may be administered to a subject over the period of time. For example, 1000mg in 24 hours.
Comments	NB! The same value must be provided in this element on each sequence / subsequence.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: RXO-23, RXE-19 rim: .maxDoseQuantity EHM: Maxdos
MedicationRequest.dosageInstruction.maxDosePerPeriod.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.dosageInstruction.maxDosePerPeriod.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.dosageInstruction.maxDosePerPeriod.numerator
Definition	The value of the numerator.
Cardinality	0...1
Type	Quantity
Binding	nll-ucum-unit (required)
Must Support	True
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: .numerator EHM: Maxdos
MedicationRequest.dosageInstruction.maxDosePerPeriod.numerator.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.dosageInstruction.maxDosePerPeriod.numerator.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.dosageInstruction.maxDosePerPeriod.numerator.value
Definition	Max dose therapeutic substance value
Cardinality	0...1
Type	decimal
Must Support	True
Summary	True
Requirements
Comments	NB! If maxDosePerPeriod contains a value, it must be > 0 (greater than zero); i.e 0 and negative numbers are not allowed. Max dose therapeutic substance value is handled with a maximum precision of 4 decimals. Corresponing regex: ^(?!0[.,]0$\|[.,]0$\|0$)\d+[,.]?\d{0,4}$
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: SN.2 / CQ - N/A rim: PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value EHM: Maxdos
MedicationRequest.dosageInstruction.maxDosePerPeriod.numerator.comparator
Definition	How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value.
Cardinality	0...1
Type	code
Binding	How the Quantity should be understood and represented. QuantityComparator (required)
Modifier	True
Summary	True
Requirements	Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: SN.1 / CQ.1 rim: IVL properties
MedicationRequest.dosageInstruction.maxDosePerPeriod.numerator.unit
Definition	A human-readable form of the unit.
Cardinality	0...1
Type	string
Summary	True
Requirements	There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: (see OBX.6 etc.) / CQ.2 rim: PQ.unit
MedicationRequest.dosageInstruction.maxDosePerPeriod.numerator.system
Definition	The identification of the system that provides the coded form of the unit.
Cardinality	0...1
Type	uri
Must Support	True
Summary	True
Requirements	Need to know the system that defines the coded form of the unit.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: (see OBX.6 etc.) / CQ.2 rim: CO.codeSystem, PQ.translation.codeSystem
MedicationRequest.dosageInstruction.maxDosePerPeriod.numerator.code
Definition	A computer processable form of the unit in some unit representation system.
Cardinality	1...1
Type	code
Must Support	True
Summary	True
Requirements	Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.
Comments	The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: (see OBX.6 etc.) / CQ.2 rim: PQ.code, MO.currency, PQ.translation.code EHM: Maxdosenhet
MedicationRequest.dosageInstruction.maxDosePerPeriod.denominator
Definition	The value of the denominator.
Cardinality	0...1
Type	Quantity
Must Support	True
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Fixed Value	{ "value": 1, "system": "http://unitsofmeasure.org", "code": "d" }
Mappings	rim: .denominator EHM: Maxdosperiod
MedicationRequest.dosageInstruction.maxDosePerPeriod.denominator.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.dosageInstruction.maxDosePerPeriod.denominator.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.dosageInstruction.maxDosePerPeriod.denominator.value
Definition	The value of the measured amount. The value includes an implicit precision in the presentation of the value.
Cardinality	0...1
Type	decimal
Must Support	True
Summary	True
Requirements	Precision is handled implicitly in almost all cases of measurement.
Comments	The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Fixed Value	1
Mappings	v2: SN.2 / CQ - N/A rim: PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value EHM: Maxdosperiod
MedicationRequest.dosageInstruction.maxDosePerPeriod.denominator.comparator
Definition	How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value.
Cardinality	0...1
Type	code
Binding	How the Quantity should be understood and represented. QuantityComparator (required)
Modifier	True
Summary	True
Requirements	Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: SN.1 / CQ.1 rim: IVL properties
MedicationRequest.dosageInstruction.maxDosePerPeriod.denominator.unit
Definition	A human-readable form of the unit.
Cardinality	0...1
Type	string
Summary	True
Requirements	There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: (see OBX.6 etc.) / CQ.2 rim: PQ.unit
MedicationRequest.dosageInstruction.maxDosePerPeriod.denominator.system
Definition	The identification of the system that provides the coded form of the unit.
Cardinality	0...1
Type	uri
Must Support	True
Summary	True
Requirements	Need to know the system that defines the coded form of the unit.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Fixed Value	http://unitsofmeasure.org
Mappings	v2: (see OBX.6 etc.) / CQ.2 rim: CO.codeSystem, PQ.translation.codeSystem
MedicationRequest.dosageInstruction.maxDosePerPeriod.denominator.code
Definition	A computer processable form of the unit in some unit representation system.
Cardinality	0...1
Type	code
Must Support	True
Summary	True
Requirements	Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.
Comments	The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Fixed Value	d
Mappings	v2: (see OBX.6 etc.) / CQ.2 rim: PQ.code, MO.currency, PQ.translation.code EHM: Maxdosperiodenhet
MedicationRequest.dosageInstruction.maxDosePerAdministration
Definition	Upper limit on medication per administration.
Cardinality	0...1
Type	SimpleQuantity
Summary	True
Requirements	The maximum total quantity of a therapeutic substance that may be administered to a subject per administration.
Comments	This is intended for use as an adjunct to the dosage when there is an upper cap. For example, a body surface area related dose with a maximum amount, such as 1.5 mg/m2 (maximum 2 mg) IV over 5 – 10 minutes would have doseQuantity of 1.5 mg/m2 and maxDosePerAdministration of 2 mg.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: not supported
MedicationRequest.dosageInstruction.maxDosePerLifetime
Definition	Upper limit on medication per lifetime of the patient.
Cardinality	0...1
Type	SimpleQuantity
Summary	True
Requirements	The maximum total quantity of a therapeutic substance that may be administered per lifetime of the subject.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: not supported
MedicationRequest.dispenseRequest
Definition	Indicates the specific details for the dispense or medication supply part of a medication request (also known as a Medication Prescription or Medication Order). Note that this information is not always sent with the order. There may be in some settings (e.g. hospitals) institutional or system support for completing the dispense details in the pharmacy department.
Cardinality	1...1
Type	BackboneElement
Must Support	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	script10.6: Message/Body/NewRx/MedicationPrescribed/ExpirationDate rim: component.supplyEvent EHM: Expedieringsdetaljer
MedicationRequest.dispenseRequest.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.dispenseRequest.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	3...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.dispenseRequest.extension:nllNumberOfPackagesPrescribed
Definition	The number of packages prescribed per dispense. Not used for dose dispensed prescriptions.
Cardinality	0...1
Type	Extension(positiveInt)
Must Support	True
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a rim: N/A EHM: Antal förpackningar per uttag
MedicationRequest.dispenseRequest.extension:nllDosePackaging
Definition	Indicates if the prescription should be dose dispensed.
Cardinality	1...1
Type	Extension(boolean)
Must Support	True
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a rim: N/A EHM: Dosdispensering
MedicationRequest.dispenseRequest.extension:nllPrescriptionCommunicableDiseasesAct
Definition	Indicates of the prescription is created according to the Communicable Diseases Act (Smittskyddslagen)
Cardinality	0...1
Type	Extension(boolean)
Must Support	True
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a rim: N/A EHM: Förskrivning enligt smittskyddslagen
MedicationRequest.dispenseRequest.extension:nllPatientPharmaceuticalBenefitsAct
Definition	Indicates if the patient is eligible to benefits according to the Pharmaceutical Benefits Act (Lag (2002:160) om läkemedelsförmån)
Cardinality	1...1
Type	Extension(boolean)
Must Support	True
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a rim: N/A EHM: Patient förmånsberättigad
MedicationRequest.dispenseRequest.extension:nllConditionsPharmaceuticalBenefitsAct
Definition	Only relevant if the medication has restrictions for reimbursement. Indicates if the patient fulfills the conditions for the prescribed medication.
Cardinality	0...1
Type	Extension(boolean)
Must Support	True
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a rim: N/A EHM: Förmånsvillkor uppfyllda
MedicationRequest.dispenseRequest.extension:nllTotalQuantity
Definition	Amount of medication to supply in total for this prescription. Calculated be the Swedish E-health Agency.
Cardinality	0...1
Type	Extension(Complex)
Must Support	True
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a rim: N/A
MedicationRequest.dispenseRequest.extension:nllTotalQuantity.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	2...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:prescribed
Definition	Total amount prescribed in this prescription. Calculated by the Swedish e-health Agency. Not used for dose dispensed prescriptions. The unit used is the unit specified in VARA (the Swedish national registry for medical products) for the prescribed medical product.
Cardinality	1...1
Type	Extension
Must Support	True
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a EHM: Förskriven mängd
MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:prescribed.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:prescribed.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:prescribed.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1...1
Type	uri
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	prescribed
Mappings	rim: N/A
MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:prescribed.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).
Cardinality	1...1
Type	Quantity
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:prescribed.value[x].id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:prescribed.value[x].extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:prescribed.value[x].value
Definition	The value of the measured amount. The value includes an implicit precision in the presentation of the value.
Cardinality	1...1
Type	decimal
Must Support	True
Summary	True
Requirements	Precision is handled implicitly in almost all cases of measurement.
Comments	The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: SN.2 / CQ - N/A rim: PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:prescribed.value[x].comparator
Definition	How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value.
Cardinality	0...0
Type	code
Binding	How the Quantity should be understood and represented. QuantityComparator (required)
Modifier	True
Summary	True
Requirements	Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: SN.1 / CQ.1 rim: IVL properties
MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:prescribed.value[x].unit
Definition	A human-readable form of the unit.
Cardinality	0...1
Type	string
Summary	True
Requirements	There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: (see OBX.6 etc.) / CQ.2 rim: PQ.unit
MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:prescribed.value[x].system
Definition	The identification of the system that provides the coded form of the unit.
Cardinality	0...1
Type	uri
Summary	True
Requirements	Need to know the system that defines the coded form of the unit.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: (see OBX.6 etc.) / CQ.2 rim: CO.codeSystem, PQ.translation.codeSystem
MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:prescribed.value[x].code
Definition	A computer processable form of the unit in some unit representation system.
Cardinality	0...1
Type	code
Summary	True
Requirements	Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.
Comments	The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: (see OBX.6 etc.) / CQ.2 rim: PQ.code, MO.currency, PQ.translation.code
MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:remaining
Definition	The remaining quantity that may be dispensed for this prescription. Calculated by the Swedish e-health Agency. Not used for dose dispensed prescriptions. The unit used is the unit specified in VARA (the Swedish national registry for medical products) for the prescribed medical product.
Cardinality	1...1
Type	Extension
Must Support	True
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a EHM: Kvarvarande mängd
MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:remaining.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:remaining.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:remaining.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1...1
Type	uri
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	remaining
Mappings	rim: N/A
MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:remaining.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).
Cardinality	1...1
Type	Quantity
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:remaining.value[x].id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:remaining.value[x].extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:remaining.value[x].value
Definition	The value of the measured amount. The value includes an implicit precision in the presentation of the value.
Cardinality	1...1
Type	decimal
Must Support	True
Summary	True
Requirements	Precision is handled implicitly in almost all cases of measurement.
Comments	The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: SN.2 / CQ - N/A rim: PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:remaining.value[x].comparator
Definition	How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value.
Cardinality	0...0
Type	code
Binding	How the Quantity should be understood and represented. QuantityComparator (required)
Modifier	True
Summary	True
Requirements	Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: SN.1 / CQ.1 rim: IVL properties
MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:remaining.value[x].unit
Definition	A human-readable form of the unit.
Cardinality	0...1
Type	string
Summary	True
Requirements	There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: (see OBX.6 etc.) / CQ.2 rim: PQ.unit
MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:remaining.value[x].system
Definition	The identification of the system that provides the coded form of the unit.
Cardinality	0...1
Type	uri
Summary	True
Requirements	Need to know the system that defines the coded form of the unit.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: (see OBX.6 etc.) / CQ.2 rim: CO.codeSystem, PQ.translation.codeSystem
MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:remaining.value[x].code
Definition	A computer processable form of the unit in some unit representation system.
Cardinality	0...1
Type	code
Summary	True
Requirements	Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.
Comments	The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: (see OBX.6 etc.) / CQ.2 rim: PQ.code, MO.currency, PQ.translation.code
MedicationRequest.dispenseRequest.extension:nllTotalQuantity.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1...1
Type	uri
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	http://electronichealth.se/fhir/StructureDefinition/NLLTotalQuantity
Mappings	rim: N/A
MedicationRequest.dispenseRequest.extension:nllTotalQuantity.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).
Cardinality	0...0
Type	base64Binary
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
MedicationRequest.dispenseRequest.extension:nllBenefitDetails
Definition	Information needed for calculating benefit
Cardinality	0...1
Type	Extension(Complex)
Must Support	True
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a rim: N/A
MedicationRequest.dispenseRequest.extension:nllBenefitDetails.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:dailyBenefitQuantityUnfeasible
Definition	Indication if it is not possible to calculate a daily benefit quantity. Set by the dispensing pharmacist. Not used for dose dispensed prescriptions.
Cardinality	0...1
Type	Extension
Must Support	True
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a EHM: Förmånsrelaterad daglig mängd kan ej anges
MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:dailyBenefitQuantityUnfeasible.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:dailyBenefitQuantityUnfeasible.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:dailyBenefitQuantityUnfeasible.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1...1
Type	uri
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	dailyBenefitQuantityUnfeasible
Mappings	rim: N/A
MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:dailyBenefitQuantityUnfeasible.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).
Cardinality	0...1
Type	boolean
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:dailyBenefitQuantity
Definition	Daily quantity within benefit. Set by the pharmacist before making the first dispense. Not used for dose dispensed prescriptions.
Cardinality	0...1
Type	Extension
Binding	http://electronichealth.se/fhir/ValueSet/dose-quantity-units (required)
Must Support	True
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a EHM: Förmånsrelaterad daglig mängd
MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:dailyBenefitQuantity.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:dailyBenefitQuantity.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:dailyBenefitQuantity.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1...1
Type	uri
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	dailyBenefitQuantity
Mappings	rim: N/A
MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:dailyBenefitQuantity.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).
Cardinality	0...1
Type	Quantity
Binding	http://electronichealth.se/fhir/ValueSet/dose-quantity-units (required)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:dailyBenefitQuantity.value[x].id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:dailyBenefitQuantity.value[x].extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:dailyBenefitQuantity.value[x].value
Definition	The value of the measured amount. The value includes an implicit precision in the presentation of the value.
Cardinality	1...1
Type	decimal
Summary	True
Requirements	Precision is handled implicitly in almost all cases of measurement.
Comments	The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: SN.2 / CQ - N/A rim: PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:dailyBenefitQuantity.value[x].comparator
Definition	How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value.
Cardinality	0...0
Type	code
Binding	How the Quantity should be understood and represented. QuantityComparator (required)
Modifier	True
Summary	True
Requirements	Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: SN.1 / CQ.1 rim: IVL properties
MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:dailyBenefitQuantity.value[x].unit
Definition	A human-readable form of the unit.
Cardinality	0...1
Type	string
Summary	True
Requirements	There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: (see OBX.6 etc.) / CQ.2 rim: PQ.unit
MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:dailyBenefitQuantity.value[x].system
Definition	The identification of the system that provides the coded form of the unit.
Cardinality	0...1
Type	uri
Summary	True
Requirements	Need to know the system that defines the coded form of the unit.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: (see OBX.6 etc.) / CQ.2 rim: CO.codeSystem, PQ.translation.codeSystem
MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:dailyBenefitQuantity.value[x].code
Definition	A computer processable form of the unit in some unit representation system.
Cardinality	0...1
Type	code
Summary	True
Requirements	Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.
Comments	The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: (see OBX.6 etc.) / CQ.2 rim: PQ.code, MO.currency, PQ.translation.code
MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:nextDispenseWithinBenefit
Definition	The earliest date for the next dispense with benefit. Calculated by the Swedish E-health Agency. Not used for dose dispensed prescriptions.
Cardinality	0...1
Type	Extension
Must Support	True
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a EHM: Nästa uttag inom förmån
MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:nextDispenseWithinBenefit.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:nextDispenseWithinBenefit.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:nextDispenseWithinBenefit.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1...1
Type	uri
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	nextDispenseWithinBenefit
Mappings	rim: N/A
MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:nextDispenseWithinBenefit.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).
Cardinality	0...1
Type	date
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
MedicationRequest.dispenseRequest.extension:nllBenefitDetails.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1...1
Type	uri
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	http://electronichealth.se/fhir/StructureDefinition/NLLBenefitDetails
Mappings	rim: N/A
MedicationRequest.dispenseRequest.extension:nllBenefitDetails.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).
Cardinality	0...0
Type	base64Binary
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
MedicationRequest.dispenseRequest.extension:nllNumberOfFillsRemaining
Definition	The number of fills this prescriptions has remaining. Calculated by the Swedish E-health Agency. Not used for dose dispensed prescriptions.
Cardinality	0...1
Type	Extension(unsignedInt)
Must Support	True
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a rim: N/A EHM: Antal uttag kvar
MedicationRequest.dispenseRequest.extension:nllReceivingPharmacy
Definition	Receiving Pharmacy is used when the patient does not have a Swedish national identification number ("personnummer"). The patient has to pick up his/her medication at the receiving pharmacy where he/she is identified through name, birthdate and sex. The receiving pharmacy is tied to the physical adress. This means that if the premises are taken over by a different organization, the prescription will still be available at the same physical adress,
Cardinality	0...1
Type	Extension(Reference(NLLPharmacyLocation))
Must Support	True
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a rim: N/A EHM: Mottagande apotek
MedicationRequest.dispenseRequest.extension:nllPrescriberCostCenter
Definition	The prescribers cost center code when making the prescription. Used for benefit billing within the regions.
Cardinality	1...1
Type	Extension(Identifier)
Must Support	True
Alias	extensions, user content
Comments	Minimum string length: 3 Maximum string length: 13
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a rim: N/A EHM: Kostnadsställe (arbetsplatskod)
MedicationRequest.dispenseRequest.extension:nllPrescriberCostCenter.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.dispenseRequest.extension:nllPrescriberCostCenter.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.dispenseRequest.extension:nllPrescriberCostCenter.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1...1
Type	uri
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	http://electronichealth.se/fhir/StructureDefinition/NLLPrescriberCostCenter
Mappings	rim: N/A
MedicationRequest.dispenseRequest.extension:nllPrescriberCostCenter.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).
Cardinality	0...1
Type	Identifier
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
MedicationRequest.dispenseRequest.extension:nllPrescriberCostCenter.value[x].id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.dispenseRequest.extension:nllPrescriberCostCenter.value[x].extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.dispenseRequest.extension:nllPrescriberCostCenter.value[x].use
Definition	The purpose of this identifier.
Cardinality	0...1
Type	code
Binding	Identifies the purpose for this identifier, if known . IdentifierUse (required)
Modifier	True
Summary	True
Requirements	Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Comments	Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: N/A rim: Role.code or implied by context
MedicationRequest.dispenseRequest.extension:nllPrescriberCostCenter.value[x].type
Definition	A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Cardinality	0...1
Type	CodeableConcept
Binding	A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible)
Summary	True
Requirements	Allows users to make use of identifiers when the identifier system is not known.
Comments	This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CX.5 rim: Role.code or implied by context
MedicationRequest.dispenseRequest.extension:nllPrescriberCostCenter.value[x].system
Definition	The cost center needs to be in the form of a "workplace code" (sv arbetsplatskod). Workplace codes are avaliabnle in the system ARKO at the Swedish eHealth Agency.
Cardinality	0...1
Type	uri
Must Support	True
Summary	True
Requirements	There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Comments	Identifier.system is always case sensitive.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Fixed Value	http://electronichealth.se/identifier/arbetsplatskod
Mappings	v2: CX.4 / EI-2-4 rim: II.root or Role.id.root servd: ./IdentifierType
MedicationRequest.dispenseRequest.extension:nllPrescriberCostCenter.value[x].value
Definition	The value of the cost center needs to be in the form of a "workplace code" (sv arbetsplatskod). Workplace codes are avaliabnle in the system ARKO at the Swedish eHealth Agency.
Cardinality	1...1
Type	string
Must Support	True
Summary	True
Comments	If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Examples	General 123456
Mappings	v2: CX.1 / EI.1 rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd: ./Value
MedicationRequest.dispenseRequest.extension:nllPrescriberCostCenter.value[x].period
Definition	Time period during which identifier is/was valid for use.
Cardinality	0...1
Type	Period
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CX.7 + CX.8 rim: Role.effectiveTime or implied by context servd: ./StartDate and ./EndDate
MedicationRequest.dispenseRequest.extension:nllPrescriberCostCenter.value[x].assigner
Definition	Organization that issued/manages the identifier.
Cardinality	0...1
Type	Reference(Organization)
Summary	True
Comments	The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CX.4 / (CX.4,CX.9,CX.10) rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd: ./IdentifierIssuingAuthority
MedicationRequest.dispenseRequest.extension:nllSubstitutionOpposed
Definition	Only used for dose dispensed prescriptions. Substitution is opposed (sv: bytes ej) by either the pharmacist or the patient. This information can be saved on the prescription as the patient isn't present when the dispensing takes place.
Cardinality	0...1
Type	Extension(code)
Binding	substitution-opposition-types (required)
Must Support	True
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a rim: N/A EHM: Bytes ej
MedicationRequest.dispenseRequest.extension:nllNumberOfDispensesAllowed
Definition	Number of dispenses allowed (sv. förskrivet antal uttag) is the common way in Sweden of communicating the total number of dispenses that can be performed. The standard field number of repeats allowed is similar but does not include the first dispense. The two terms are related by the formula numberOfRepeatsAllowed +1 = numberOfDispensesAllowed.
Cardinality	0...1
Type	Extension(unsignedInt)
Must Support	True
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a rim: N/A EHM: Förskrivet antal uttag
MedicationRequest.dispenseRequest.extension:nllNextDateDispenseInterval
Definition	Calculated by the Swedish e-health Agency. Not used for dose dispensed prescriptions. The earliest date for the next dispense for prescriptions with dispense interval. When the date cannot be calculated, the dispense interval is checked by the pharmacist.
Cardinality	0...1
Type	Extension(date)
Must Support	True
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a rim: N/A EHM: Datum för nästa uttag om expedieringsintervall
MedicationRequest.dispenseRequest.extension:nllNextDateDispenseInterval.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.dispenseRequest.extension:nllNextDateDispenseInterval.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.dispenseRequest.extension:nllNextDateDispenseInterval.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1...1
Type	uri
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	http://electronichealth.se/fhir/StructureDefinition/nllNextDateDispenseInterval
Mappings	rim: N/A
MedicationRequest.dispenseRequest.extension:nllNextDateDispenseInterval.value[x]
Definition	Calculated by the Swedish e-health Agency. Not used for dose dispensed prescriptions.
Cardinality	0...1
Type	date
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
MedicationRequest.dispenseRequest.modifierExtension
Definition	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality	0...*
Type	Extension
Modifier	True
Summary	True
Alias	extensions, user content, modifiers
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: N/A
MedicationRequest.dispenseRequest.initialFill
Definition	Used for indicating "Trial Fill". May only be one package, usually the smallest package available. Not used for dose dispensed prescriptions.
Cardinality	0...1
Type	BackboneElement
Must Support	True
Comments	If populating this element, either the quantity or the duration must be included.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: SubstanceAdministration -> ActRelationship[sequenceNumber = '1'] -> Supply EHM: Startförpackning
MedicationRequest.dispenseRequest.initialFill.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.dispenseRequest.initialFill.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.dispenseRequest.initialFill.modifierExtension
Definition	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality	0...*
Type	Extension
Modifier	True
Summary	True
Alias	extensions, user content, modifiers
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: N/A
MedicationRequest.dispenseRequest.initialFill.quantity
Definition	The amount or quantity to provide as part of the first dispense.
Cardinality	1...1
Type	SimpleQuantity
Must Support	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: Supply.quantity[moodCode=RQO]
MedicationRequest.dispenseRequest.initialFill.quantity.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.dispenseRequest.initialFill.quantity.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.dispenseRequest.initialFill.quantity.value
Definition	The value of the measured amount. The value includes an implicit precision in the presentation of the value.
Cardinality	1...1
Type	decimal
Must Support	True
Summary	True
Requirements	Precision is handled implicitly in almost all cases of measurement.
Comments	The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Fixed Value	1
Mappings	v2: SN.2 / CQ - N/A rim: PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
MedicationRequest.dispenseRequest.initialFill.quantity.comparator
Definition	Not allowed to be used in this context
Cardinality	0...0
Type	code
Binding	How the Quantity should be understood and represented. QuantityComparator (required)
Modifier	True
Summary	True
Requirements	Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: SN.1 / CQ.1 rim: IVL properties
MedicationRequest.dispenseRequest.initialFill.quantity.unit
Definition	A human-readable form of the unit.
Cardinality	0...1
Type	string
Must Support	True
Summary	True
Requirements	There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Fixed Value	Package
Mappings	v2: (see OBX.6 etc.) / CQ.2 rim: PQ.unit
MedicationRequest.dispenseRequest.initialFill.quantity.system
Definition	The identification of the system that provides the coded form of the unit.
Cardinality	0...1
Type	uri
Must Support	True
Summary	True
Requirements	Need to know the system that defines the coded form of the unit.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Fixed Value	http://unitsofmeasure.org
Mappings	v2: (see OBX.6 etc.) / CQ.2 rim: CO.codeSystem, PQ.translation.codeSystem
MedicationRequest.dispenseRequest.initialFill.quantity.code
Definition	A computer processable form of the unit in some unit representation system.
Cardinality	1...1
Type	code
Must Support	True
Summary	True
Requirements	Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.
Comments	The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Fixed Value	{Package}
Mappings	v2: (see OBX.6 etc.) / CQ.2 rim: PQ.code, MO.currency, PQ.translation.code
MedicationRequest.dispenseRequest.initialFill.duration
Definition	The length of time that the first dispense is expected to last.
Cardinality	0...0
Type	Duration
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: Supply.effectivetime[moodCode=RQO]
MedicationRequest.dispenseRequest.dispenseInterval
Definition	The minimum period of time that must occur between dispenses of the medical product. Not used for dose dispensed prescriptions.
Cardinality	0...1
Type	Duration
Must Support	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: Supply.effectivetime[moodCode=RQO] EHM: Expedieringsintervall
MedicationRequest.dispenseRequest.dispenseInterval.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.dispenseRequest.dispenseInterval.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.dispenseRequest.dispenseInterval.value
Definition	The value of the measured amount. The value includes an implicit precision in the presentation of the value.
Cardinality	1...1
Type	decimal
Must Support	True
Summary	True
Requirements	Precision is handled implicitly in almost all cases of measurement.
Comments	The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: SN.2 / CQ - N/A rim: PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
MedicationRequest.dispenseRequest.dispenseInterval.comparator
Definition	How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value.
Cardinality	0...1
Type	code
Binding	How the Quantity should be understood and represented. QuantityComparator (required)
Modifier	True
Summary	True
Requirements	Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: SN.1 / CQ.1 rim: IVL properties
MedicationRequest.dispenseRequest.dispenseInterval.unit
Definition	A human-readable form of the unit.
Cardinality	0...1
Type	string
Summary	True
Requirements	There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: (see OBX.6 etc.) / CQ.2 rim: PQ.unit
MedicationRequest.dispenseRequest.dispenseInterval.system
Definition	The identification of the system that provides the coded form of the unit.
Cardinality	0...1
Type	uri
Must Support	True
Summary	True
Requirements	Need to know the system that defines the coded form of the unit.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: (see OBX.6 etc.) / CQ.2 rim: CO.codeSystem, PQ.translation.codeSystem
MedicationRequest.dispenseRequest.dispenseInterval.code
Definition	A computer processable form of the unit in some unit representation system.
Cardinality	1...1
Type	code
Binding	dispense-interval-units (required)
Must Support	True
Summary	True
Requirements	Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.
Comments	The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: (see OBX.6 etc.) / CQ.2 rim: PQ.code, MO.currency, PQ.translation.code EHM: Expedieringsintervall enhet
MedicationRequest.dispenseRequest.validityPeriod
Definition	This indicates the validity period of a prescription (stale dating the Prescription). I no validityPeriod.end is provided, then it will be calculated by the Swedish E-health Agency. The validity period may not be longer than one year.
Cardinality	0...1
Type	Period
Must Support	True
Requirements	Indicates when the Prescription becomes valid, and when it ceases to be a dispensable Prescription.
Comments	It reflects the prescribers' perspective for the validity of the prescription. Dispenses must not be made against the prescription outside of this period. The lower-bound of the Dispensing Window signifies the earliest date that the prescription can be filled for the first time. If an upper-bound is not specified then the Prescription is open-ended or will default to a stale-date based on regulations.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	script10.6: Message/Body/NewRx/MedicationPrescribed/Refills rim: effectiveTime
MedicationRequest.dispenseRequest.validityPeriod.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.dispenseRequest.validityPeriod.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.dispenseRequest.validityPeriod.extension:nllFirstDispenseBefore
Definition	Not used for dose dispensed prescriptions The first dispense must occur before this date. If not, the prescription will be invalidated.
Cardinality	0...1
Type	Extension(date)
Must Support	True
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a rim: N/A EHM: Första uttag före
MedicationRequest.dispenseRequest.validityPeriod.start
Definition	The start of the period. The boundary is inclusive.
Cardinality	0...1
Type	dateTime
Summary	True
Comments	If the low element is missing, the meaning is that the low boundary is not known.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: DR.1 rim: ./low
MedicationRequest.dispenseRequest.validityPeriod.end
Definition	Last date when dispensing is allowed. If no date is provided it will be calculated by the Swedish E-health Agency. NB! This is only handled as a date, the time part of the dateTime is not used.
Cardinality	0...1
Type	dateTime
Must Support	True
Summary	True
Comments	The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: DR.2 rim: ./high EHM: Sista giltighetsdag
MedicationRequest.dispenseRequest.numberOfRepeatsAllowed
Definition	Not used for dose dispensed prescriptions. An integer indicating the number of times, in addition to the original dispense, (aka refills or repeats) that the patient can receive the prescribed medication. Usage Notes: This integer does not include the original order dispense. This means that if an order indicates dispense 30 tablets plus "3 repeats", then the order can be dispensed a total of 4 times and the patient can receive a total of 120 tablets. A prescriber may explicitly say that zero refills are permitted after the initial dispense.
Cardinality	0...1
Type	unsignedInt
Must Support	True
Comments	If using this as basis for displaying "total number of authorized fills", add 1 to this number. This is because the total number of dispenses is the original dispense + additional dispenses stipulated by "number of repeats allowed".
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	script10.6: Message/Body/NewRx/MedicationPrescribed/Quantity v2: RXE-12-Number of Refills rim: repeatNumber EHM: Förskrivet antal uttag
MedicationRequest.dispenseRequest.quantity
Definition	The amount that is to be dispensed for one fill. The unit used is the unit specified in VARA (the Swedish national registry for medical products) for the prescribed medical product. Calculated by the Swedish E-health Agency based on nllNumberOfPackagesPrescibed and the quantity of medication in the package. Not used for dose dispensed prescriptions.
Cardinality	0...1
Type	SimpleQuantity
Must Support	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	script10.6: Message/Body/NewRx/MedicationPrescribed/DaysSupply v2: RXD-4-Actual Dispense Amount / RXD-5.1-Actual Dispense Units.code / RXD-5.3-Actual Dispense Units.name of coding system rim: quantity EHM: Förskriven mängd per uttag
MedicationRequest.dispenseRequest.quantity.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.dispenseRequest.quantity.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.dispenseRequest.quantity.value
Definition	The value of the measured amount. The value includes an implicit precision in the presentation of the value.
Cardinality	0...1
Type	decimal
Must Support	True
Summary	True
Requirements	Precision is handled implicitly in almost all cases of measurement.
Comments	The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: SN.2 / CQ - N/A rim: PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value EHM: Förskriven mängd per uttag
MedicationRequest.dispenseRequest.quantity.comparator
Definition	Not allowed to be used in this context
Cardinality	0...0
Type	code
Binding	How the Quantity should be understood and represented. QuantityComparator (required)
Modifier	True
Summary	True
Requirements	Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: SN.1 / CQ.1 rim: IVL properties
MedicationRequest.dispenseRequest.quantity.unit
Definition	A human-readable form of the unit.
Cardinality	0...1
Type	string
Summary	True
Requirements	There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: (see OBX.6 etc.) / CQ.2 rim: PQ.unit
MedicationRequest.dispenseRequest.quantity.system
Definition	The identification of the system that provides the coded form of the unit.
Cardinality	0...1
Type	uri
Summary	True
Requirements	Need to know the system that defines the coded form of the unit.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: (see OBX.6 etc.) / CQ.2 rim: CO.codeSystem, PQ.translation.codeSystem
MedicationRequest.dispenseRequest.quantity.code
Definition	A computer processable form of the unit in some unit representation system.
Cardinality	0...1
Type	code
Summary	True
Requirements	Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.
Comments	The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: (see OBX.6 etc.) / CQ.2 rim: PQ.code, MO.currency, PQ.translation.code
MedicationRequest.dispenseRequest.expectedSupplyDuration
Definition	Identifies the period time over which the supplied product is expected to be used, or the length of time the dispense is expected to last.
Cardinality	0...1
Type	Duration
Comments	In some situations, this attribute may be used instead of quantity to identify the amount supplied by how long it is expected to last, rather than the physical quantity issued, e.g. 90 days supply of medication (based on an ordered dosage). When possible, it is always better to specify quantity, as this tends to be more precise. expectedSupplyDuration will always be an estimate that can be influenced by external factors.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	script10.6: Message/Body/NewRx/MedicationPrescribed/Substitutions rim: expectedUseTime
MedicationRequest.dispenseRequest.performer
Definition	Indicates the intended dispensing Organization specified by the prescriber.
Cardinality	0...1
Type	Reference(Organization)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	w5: FiveWs.who rim: .outboundRelationship[typeCode=COMP].target[classCode=SPLY, moodCode=RQO] .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
MedicationRequest.substitution
Definition	Indicates whether or not substitution can or should be part of the dispense. In some cases, substitution must happen, in other cases substitution must not happen. This block explains the prescriber's intent. If nothing is specified substitution may be done.
Cardinality	0...1
Type	BackboneElement
Must Support	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	script10.6: specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions rim: subjectOf.substitutionPersmission
MedicationRequest.substitution.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationRequest.substitution.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
MedicationRequest.substitution.modifierExtension
Definition	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality	0...*
Type	Extension
Modifier	True
Summary	True
Alias	extensions, user content, modifiers
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: N/A
MedicationRequest.substitution.allowed[x]
Definition	True if the prescriber allows a different drug to be dispensed from what was prescribed.
Cardinality	1...1
Type	boolean
Must Support	True
Comments	This element is labeled as a modifier because whether substitution is allow or not, it cannot be ignored. A missing value is the same as substitution allowed
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	script10.6: specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions v2: RXO-9-Allow Substitutions / RXE-9-Substitution Status rim: code EHM: Substitution tillåten
MedicationRequest.substitution.reason
Definition	Indicates the reason for the substitution, or why substitution must or must not be performed.
Cardinality	0...1
Type	CodeableConcept
Binding	A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed. v3.SubstanceAdminSubstitutionReason (example)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	script10.6: not mapped v2: RXE-9 Substition status rim: reasonCode
MedicationRequest.priorPrescription
Definition	When replacing or renewing a prescription, the version of the replaced/renewed prescription must be provided in the POST operation. When reading a prescription, the reference to the replaced/renewed prescription will not be version specific.
Cardinality	0...1
Type	Reference(NLLMedicationRequest)
Must Support	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Request.replaces script10.6: not mapped rim: .outboundRelationship[typeCode=?RPLC or ?SUCC]/target[classCode=SBADM,moodCode=RQO] EHM: Referens till tidigare förskrivning
MedicationRequest.detectedIssue
Definition	Read only for MedicationRequest. Automatic Format and Constitution Control (AFF) warning generated by the Swedish eHealth Agency according to the current conditions.
Cardinality	0...*
Type	Reference(NLLDetectedIssue)
Must Support	True
Alias	Contraindication, Drug Utilization Review (DUR), Alert
Comments	This element can include a detected issue that has been identified either by a decision support system or by a clinician and may include information on the steps that were taken to address the issue.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: .inboundRelationship[typeCode=SUBJ]/source[classCode=ALRT,moodCode=EVN].value EHM: AFF-varning
MedicationRequest.eventHistory
Definition	Links to Provenance records for past versions of this resource or fulfilling request or event resources that identify key state transitions or updates that are likely to be relevant to a user looking at the current version of the resource.
Cardinality	0...*
Type	Reference(Provenance)
Comments	This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.).
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Request.relevantHistory rim: .inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="dcae1550-a48a-4d44-a431-73c47c9dd075" />
    <meta>
        <versionId value="1" />
        <lastUpdated value="2024-08-29T09:26:59.0425172+00:00" />
    </meta>
    <url value="http://electronichealth.se/fhir/StructureDefinition/NLLMedicationRequest" />
    <version value="1.4.1" />
    <name value="NLLMedicationRequest" />
    <status value="active" />
    <date value="2024-08-29" />
    <publisher value="Swedish eHealth Agency" />
    <fhirVersion value="4.0.1" />
    <mapping>
        <identity value="EHM" />
        <name value="E-h&#228;lsomyndigheten concept" />
    </mapping>
    <kind value="resource" />
    <abstract value="false" />
    <type value="MedicationRequest" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/MedicationRequest" />
    <derivation value="constraint" />
    <differential>
        <element id="MedicationRequest">
            <path value="MedicationRequest" />
            <short value="A prescription for a patient" />
            <definition value="MedicationRequest in the National Swedish Medication List is used for prescriptions for a patient.\nA prescription can be made for either a medicine package or for a reimbursed consumable." />
        </element>
        <element id="MedicationRequest.id">
            <path value="MedicationRequest.id" />
            <comment value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation.\nThis id is identified by the URI http://electronichealth.se/identifier/nllmedicationrequestid in documentation and external systems." />
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="F&#246;rskrivnings-id" />
            </mapping>
        </element>
        <element id="MedicationRequest.meta">
            <path value="MedicationRequest.meta" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationRequest.meta.versionId">
            <path value="MedicationRequest.meta.versionId" />
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="F&#246;rskrivningsversion" />
            </mapping>
        </element>
        <element id="MedicationRequest.meta.security">
            <path value="MedicationRequest.meta.security" />
            <mustSupport value="true" />
            <binding>
                <strength value="extensible" />
                <valueSet value="http://ehalsomyndigheten.se/fhir/ValueSet/security-labels" />
            </binding>
        </element>
        <element id="MedicationRequest.meta.security.system">
            <path value="MedicationRequest.meta.security.system" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationRequest.meta.security.version">
            <path value="MedicationRequest.meta.security.version" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationRequest.meta.security.code">
            <path value="MedicationRequest.meta.security.code" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationRequest.extension">
            <path value="MedicationRequest.extension" />
            <min value="2" />
        </element>
        <element id="MedicationRequest.extension:nllPatientTreatmentReason">
            <path value="MedicationRequest.extension" />
            <sliceName value="nllPatientTreatmentReason" />
            <short value="The treatment reason described for the patient" />
            <definition value="The reason for the treatment described in a way that is understood by the patient (behandlings&#228;ndam&#229;l). \nA text can be selected from &quot;Nationell k&#228;lla f&#246;r ordinationsorsak&quot; (NKOO). It is also possible to enter free text. \nNKOO is a code system that is defined by the Swedish National Board of Health and Welfare (Socialstyrelsen). The code system consists of SnomedCT codes for reasons (behandlingsorsak). Each medical product has a selection of valid SnomedCT reason codes, and in connection with the codes are the available patient reasons. The corresponding patient text could be entered here in &quot;nllPatientTreatmentReason&quot;, and the SnomedCT reason code (behandlingsorsak) should be entered in &quot;reasonCode&quot;." />
            <comment value="Maximum string length: 256" />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="http://electronichealth.se/fhir/StructureDefinition/NLLPatientTreatmentReason" />
            </type>
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="Behandlings&#228;ndam&#229;l" />
            </mapping>
        </element>
        <element id="MedicationRequest.extension:nllPrescriptionChain">
            <path value="MedicationRequest.extension" />
            <sliceName value="nllPrescriptionChain" />
            <short value="Prescription chain id" />
            <definition value="Id used to identify all prescriptions in one prescription chain.\nA prescription chain is a set of prescriptions that are linked together in chronological order (The attribute priorPrescription is used to find the previos prescription.)\nA prescription chain is created ie when a prescription is renewed or replaced. The purpose is to be able to provide a grouping of related prescriptions.\nIf a Prescription chain id is not provided in a POST of a MedicationRequest, a new prescription chain id is set by the Swedish eHealth Agency when the prescription is created. Prescription chain id is available on all prescriptions." />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="http://electronichealth.se/fhir/StructureDefinition/NLLPrescriptionChain" />
            </type>
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="F&#246;rskrivningskedje-id" />
            </mapping>
        </element>
        <element id="MedicationRequest.extension:nllPrescriptionFormat">
            <path value="MedicationRequest.extension" />
            <sliceName value="nllPrescriptionFormat" />
            <short value="Current prescription format" />
            <definition value="Current prescription format can be either &quot;electronic&quot; (Elektroniskt) or &quot;paper&quot; (Papper). If the prescription has been printed out on paper, i.e. the format is &quot;paper&quot; , then the patient needs to bring the print-out with him to the pharmacy to be able to get a dispense." />
            <min value="1" />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="http://electronichealth.se/fhir/StructureDefinition/NLLPrescriptionFormat" />
            </type>
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <valueSet value="http://ehalsomyndigheten.se/fhir/ValueSet/prescription-formats" />
            </binding>
            <mapping>
                <identity value="EHM" />
                <map value="Aktuellt format" />
            </mapping>
        </element>
        <element id="MedicationRequest.extension:nllTreatmentDates">
            <path value="MedicationRequest.extension" />
            <sliceName value="nllTreatmentDates" />
            <definition value="Treatment dates as defined by the Swedish law &quot;Lag (2018:1212) om nationell l&#228;kemedelslista&quot;, chapter 3, 8&#167;, section 5. \nThe latest date when the medical treatment should be either reviewed or ended." />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="http://electronichealth.se/fhir/StructureDefinition/NLLTreatmentDates" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="MedicationRequest.extension:nllTreatmentDates.extension:treatmentReviewDate">
            <path value="MedicationRequest.extension.extension" />
            <sliceName value="treatmentReviewDate" />
            <short value="Treatment review date" />
            <definition value="The latest date at which a review of the ongoing treatment must be made." />
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="Senaste datum f&#246;r uppf&#246;ljning av behandling" />
            </mapping>
        </element>
        <element id="MedicationRequest.extension:nllTreatmentDates.extension:treatmentEndDate">
            <path value="MedicationRequest.extension.extension" />
            <sliceName value="treatmentEndDate" />
            <short value="Treatment end date" />
            <definition value="The latest date at which the prescriber orders that the treatment must end." />
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="Senaste datum f&#246;r avslut av behandling" />
            </mapping>
        </element>
        <element id="MedicationRequest.extension:nllRegistrationBasis">
            <path value="MedicationRequest.extension" />
            <sliceName value="nllRegistrationBasis" />
            <short value="Format when the prescription was registered" />
            <definition value="The format of the basis for the registration of the prescription. A prescriber can only register prescriptions in electronic format in the Swedish National Medication List. A pharmacy can also register a prescription based on  paper prescription, or based on a phone call from a prescriber.\nThis value is entered when creating the prescription, and is never updated." />
            <min value="1" />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="http://electronichealth.se/fhir/StructureDefinition/NLLRegistrationBasis" />
            </type>
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <valueSet value="http://ehalsomyndigheten.se/fhir/ValueSet/registration-basis" />
            </binding>
            <mapping>
                <identity value="EHM" />
                <map value="Typ av registreringsunderlag" />
            </mapping>
        </element>
        <element id="MedicationRequest.extension:nllUsageDates">
            <path value="MedicationRequest.extension" />
            <sliceName value="nllUsageDates" />
            <short value="Usage dates" />
            <definition value="Dates that are used for scheduling the use of the prescribed article." />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="http://electronichealth.se/fhir/StructureDefinition/NLLUsageDates" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="MedicationRequest.extension:nllUsageDates.extension:usageStartDate">
            <path value="MedicationRequest.extension.extension" />
            <sliceName value="usageStartDate" />
            <short value="When the patient should start using the medication." />
            <definition value="The date when the patient should start administering the medication according to the prescription." />
            <mustSupport value="true" />
        </element>
        <element id="MedicationRequest.extension:nllUsageDates.extension:usageEndDate">
            <path value="MedicationRequest.extension.extension" />
            <sliceName value="usageEndDate" />
            <short value="When the patient should stop using the medication." />
            <definition value="The date when the patient should stop administering the medication according to current prescription." />
            <mustSupport value="true" />
        </element>
        <element id="MedicationRequest.extension:nllUsageDates.extension:scheduleStartDate">
            <path value="MedicationRequest.extension.extension" />
            <sliceName value="scheduleStartDate" />
            <definition value="Set by the Swedish eHealth Agency.\nDate used in renewed prescriptions whith repeating dosages for calculating the current day in the schedule. Used for repeating dosages with &quot;time of day&quot; or &quot;when&quot; (sv tillf&#228;llesdosering) and a UsageStartDate (f&#246;rsta doseringsdag)." />
            <comment value="Schedule Start Date is a mechanism for calculating the current day in the schedule when a prescription with a repeating schedule has been renewed once or several times. Schedule Start Date is the original Usage Start Date form the first prescription when the schedule was defined. \nExample: The first prescription had a Usage Start Date which was 2020-08-23 and the schedule repeats every second day (&quot;Take every second day&quot;). Then the Schedule Start Date will be set to 2020-08-23 and togehter with the instructions of the schedule it is possible calculate which day of the schedule any given date will correspond to, ie a day when the patient should take the medication or a day when no medication should be administered." />
            <mustSupport value="true" />
        </element>
        <element id="MedicationRequest.extension:nllCompletePrescriptionChoice">
            <path value="MedicationRequest.extension" />
            <sliceName value="nllCompletePrescriptionChoice" />
            <short value="Prescription completion descision" />
            <definition value="Only used for input.\nWhen 12% or less of the total quantity of the prescribed medication is left, the prescription will automatically be set to status &quot;Completed&quot;. \nA pharmacist can make a descision to overrule the automatic rules by either choosing to set the prescription status to &quot;Completed&quot; or to keep the status &quot;Active&quot;." />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="http://electronichealth.se/fhir/StructureDefinition/NLLCompletePrescriptionChoice" />
            </type>
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <valueSet value="http://ehalsomyndigheten.se/fhir/ValueSet/complete-prescription-choices" />
            </binding>
            <mapping>
                <identity value="EHM" />
                <map value="Beslut slutexpediering" />
            </mapping>
        </element>
        <element id="MedicationRequest.extension:nllOrdinationsId">
            <path value="MedicationRequest.extension" />
            <sliceName value="nllOrdinationsId" />
            <short value="OrdinationsId from OR (Receptdep&#229; human)" />
            <definition value="Calculated by the Swedish eHealth Agency. Not used for input.\nLegacy id used for identifying prescriptions which is used in the OR (Receptdep&#229; human) API.\nIn OR this corresponds to ordinationsId, which is unique for each version of the prescription.\nThis attribute will be removed after the end of the transition period." />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="http://electronichealth.se/fhir/StructureDefinition/NLLOrdinationsId" />
            </type>
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="OR-OrdinationsId" />
            </mapping>
        </element>
        <element id="MedicationRequest.extension:nllTidigareOrdinationsid">
            <path value="MedicationRequest.extension" />
            <sliceName value="nllTidigareOrdinationsid" />
            <short value="Tidigare OrdinationsId OR (Receptdep&#229; human)" />
            <definition value="Calculated by the Swedish eHealth Agency. Not used for input.\nLegacy id used for identifying prescriptions which is used in the OR (Receptdep&#229; human) API.\n&quot;Tidigare OrdinationsId&quot; is used for identifying a prior prescription originally created in OR (Receptdep&#229; Human) .\nIn OR this corresponds to tidigareOrdinationsId.\nThis attribute will be removed after the end of the transition period." />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="http://electronichealth.se/fhir/StructureDefinition/NLLTidigareOrdinationsid" />
            </type>
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="Referens till tidigare OR-ordinations-id" />
            </mapping>
        </element>
        <element id="MedicationRequest.identifier">
            <path value="MedicationRequest.identifier" />
            <slicing>
                <discriminator>
                    <type value="value" />
                    <path value="system" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <mustSupport value="true" />
        </element>
        <element id="MedicationRequest.identifier:NEF">
            <path value="MedicationRequest.identifier" />
            <sliceName value="NEF" />
            <short value="Legacy ids used in NEF and OR" />
            <definition value="Ids used for identifying prescriptions originally created in NEF or OR.\nIn OR this corresponds to originalOrdinationsId, which is the same as PrescriptionSetId in NEF. In OR a originalOrdinationsId/PrescriptionSetId always correspons to one unique prescription.\nIn NEF the combination of PrescriptionSetId-PrescriptionItemId corresponds to one unique prescription.\nPrescriptionItemId is made up from RowId-ProductRowId.\noriginalOrdinationsId/PrescriptionSetId is in the form of a UUID.\nRowId and ProductRowId are counters.\nThese attributes will be removed after the end of the transition period." />
            <max value="1" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationRequest.identifier:NEF.extension:NEFIdParts">
            <path value="MedicationRequest.identifier.extension" />
            <sliceName value="NEFIdParts" />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="http://electronichealth.se/fhir/StructureDefinition/NLLNEFId" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="MedicationRequest.identifier:NEF.extension:NEFIdParts.extension:PrescriptionSetId">
            <path value="MedicationRequest.identifier.extension.extension" />
            <sliceName value="PrescriptionSetId" />
            <definition value="NEF: PrescriptionSetId, OR: Originalordinationsid is a legacy identifier used by NEF/PIRR and OR. Every prescription created by systems connected before Swedish National Medication List will have a PrescriptionSetId/orignalordinationsid. However, it does not allways identify a unique prescription. To search for a unique prescriptions the RowId/radnummer and ProductRowId/produktradnummer may be needed as well." />
            <comment value="Maximum string length: 36" />
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="Originalordinations-id" />
            </mapping>
        </element>
        <element id="MedicationRequest.identifier:NEF.extension:NEFIdParts.extension:PrescriptionSetId.value[x]">
            <path value="MedicationRequest.identifier.extension.extension.value[x]" />
            <maxLength value="36" />
        </element>
        <element id="MedicationRequest.identifier:NEF.extension:NEFIdParts.extension:RowId">
            <path value="MedicationRequest.identifier.extension.extension" />
            <sliceName value="RowId" />
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="Radnummer" />
            </mapping>
        </element>
        <element id="MedicationRequest.identifier:NEF.extension:NEFIdParts.extension:ProductRowId">
            <path value="MedicationRequest.identifier.extension.extension" />
            <sliceName value="ProductRowId" />
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="Produktradnummer" />
            </mapping>
        </element>
        <element id="MedicationRequest.identifier:NEF.system">
            <path value="MedicationRequest.identifier.system" />
            <min value="1" />
            <fixedUri value="http://electronichealth.se/fhir/NamingSystem/NEFId" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationRequest.identifier:NEF.value">
            <path value="MedicationRequest.identifier.value" />
            <short value="The complete NEFid" />
            <definition value="Calculated by the Swedish eHealth Agency.\nThe complete NEFid for the specific prescribed article, i.e. a combination of PrescriptionSetId and PrescriptionItemId where applicable. \nPrescriptionItemId is made up from RowId-ProductRowId.\nIn OR only PrescriptionSetId/originalOrdinationsId is used.\noriginalOrdinationsId/PrescriptionSetId is in the form of a UUID.\nRowId and ProductRowId are counters.\nThe format is &quot;PrescriptionSetId/Originalordinationsid - PrescriptionItemid/RadnummerNEF&quot;,  i.e. UUID-x-y. Example 123e4567-e89b-12d3-a456-426655440000-2-1, where the ending &quot;2-1&quot; are RowId-ProductRowId." />
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="Kombinerat NEF-id" />
            </mapping>
        </element>
        <element id="MedicationRequest.status">
            <path value="MedicationRequest.status" />
            <short value="active | on-hold | cancelled | completed | stopped" />
            <definition value="The status of the prescription. The following statuses will be used: active, cancelled, on-hold (suspended), completed and stopped. The following statuses will not be used: entered-in-error, draft and unknown." />
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <valueSet value="http://electronichealth.se/fhir/ValueSet/medication-request-status" />
            </binding>
            <mapping>
                <identity value="EHM" />
                <map value="F&#246;rskrivningsstatus" />
            </mapping>
        </element>
        <element id="MedicationRequest.statusReason">
            <path value="MedicationRequest.statusReason" />
            <definition value="Set by the Swedish E-health Agency.\nReason for the current status of the prescription." />
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <valueSet value="http://ehalsomyndigheten.se/fhir/ValueSet/medication-request-status-reasons" />
            </binding>
            <mapping>
                <identity value="EHM" />
                <map value="F&#246;rskrivningsstatusorsak" />
            </mapping>
        </element>
        <element id="MedicationRequest.statusReason.coding">
            <path value="MedicationRequest.statusReason.coding" />
            <max value="1" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationRequest.statusReason.coding.system">
            <path value="MedicationRequest.statusReason.coding.system" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationRequest.statusReason.coding.version">
            <path value="MedicationRequest.statusReason.coding.version" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationRequest.statusReason.coding.code">
            <path value="MedicationRequest.statusReason.coding.code" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationRequest.intent">
            <path value="MedicationRequest.intent" />
            <short value="order" />
            <definition value="A prescription is always an order." />
            <fixedCode value="order" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationRequest.priority">
            <path value="MedicationRequest.priority" />
            <short value="urgent" />
            <definition value="Shall only be used for dose dispensed prescriptions. Indicates that actions may need to be taken before next ordinary production date." />
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <valueSet value="http://electronichealth.se/fhir/ValueSet/medication-request-priority" />
            </binding>
            <mapping>
                <identity value="EHM" />
                <map value="Akut f&#246;r&#228;ndring" />
            </mapping>
        </element>
        <element id="MedicationRequest.medication[x]">
            <path value="MedicationRequest.medication[x]" />
            <short value="Prescribed article" />
            <definition value="Identifies the medical product or medical consumable being prescribed. \nMedical products are prescribed using both NPL-id (medical product) and NPL-pack-id (packaged medical product).\nMedical consumables are prescribed using item number (sv varunummer)." />
            <type>
                <code value="CodeableConcept" />
            </type>
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="Artikel" />
            </mapping>
        </element>
        <element id="MedicationRequest.medication[x].coding">
            <path value="MedicationRequest.medication[x].coding" />
            <slicing>
                <discriminator>
                    <type value="value" />
                    <path value="system" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationRequest.medication[x].coding:nplid">
            <path value="MedicationRequest.medication[x].coding" />
            <sliceName value="nplid" />
            <short value="NPL-id" />
            <definition value="A unique identifier of a medical product according to &quot;Nationellt produktregister f&#246;r l&#228;kemedel&quot; provided by the Swedish Medical Products Agency (sv L&#228;kemedelsverket)" />
            <comment value="The naming system http://electronichealth.se/fhir/NamingSystem/nplid includes both NPL ID defined by L&#228;kemedelsverket and SB ID defined by E-h&#228;lsomyndigheten" />
            <max value="1" />
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="NPL-id" />
            </mapping>
        </element>
        <element id="MedicationRequest.medication[x].coding:nplid.system">
            <path value="MedicationRequest.medication[x].coding.system" />
            <min value="1" />
            <fixedUri value="http://electronichealth.se/fhir/NamingSystem/nplid" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationRequest.medication[x].coding:nplid.code">
            <path value="MedicationRequest.medication[x].coding.code" />
            <comment value="Maximum string length: 14" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationRequest.medication[x].coding:nplpackid">
            <path value="MedicationRequest.medication[x].coding" />
            <sliceName value="nplpackid" />
            <short value="NPL-pack-id" />
            <definition value="A unique identifier of a medical product package according to &quot;Nationellt produktregister f&#246;r l&#228;kemedel&quot; provided by the Swedish Medical Products Agency (sv L&#228;kemedelsverket)" />
            <comment value="The naming system http://electronichealth.se/fhir/NamingSystem/nplpackid includes both NPL-Pack ID defined by L&#228;kemedelsverket and SB-Pack ID defined by E-h&#228;lsomyndigheten" />
            <max value="1" />
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="NPL-pack-id" />
            </mapping>
        </element>
        <element id="MedicationRequest.medication[x].coding:nplpackid.system">
            <path value="MedicationRequest.medication[x].coding.system" />
            <min value="1" />
            <fixedUri value="http://electronichealth.se/fhir/NamingSystem/nplpackid" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationRequest.medication[x].coding:nplpackid.code">
            <path value="MedicationRequest.medication[x].coding.code" />
            <comment value="Maximum string length: 14" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationRequest.medication[x].coding:varunr">
            <path value="MedicationRequest.medication[x].coding" />
            <sliceName value="varunr" />
            <short value="Varunummer" />
            <definition value="A unique identifier of a medical consumable according to &quot;Nationellt produktregister f&#246;r l&#228;kemedel&quot; provided by the Swedish Medical Products Agency (sv L&#228;kemedelsverket)\nAlso a non-unique identifier of a medical product package." />
            <max value="1" />
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="Varunummer" />
            </mapping>
        </element>
        <element id="MedicationRequest.medication[x].coding:varunr.system">
            <path value="MedicationRequest.medication[x].coding.system" />
            <min value="1" />
            <fixedUri value="http://electronichealth.se/fhir/NamingSystem/varunr" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationRequest.medication[x].coding:varunr.code">
            <path value="MedicationRequest.medication[x].coding.code" />
            <comment value="Minimum string length: 6\nMaximum string length: 6" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationRequest.medication[x].text">
            <path value="MedicationRequest.medication[x].text" />
            <short value="Information about the prescribed article" />
            <definition value="FOR FUTURE USE, SHOULD NOT BE USED!\nUsed to provide information about the prescribed article when a specified article isn&#180;t available. For example when prescribing extemporaneous preparations." />
            <comment value="Max length: 255" />
            <maxLength value="255" />
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="Beskrivning artikel" />
            </mapping>
        </element>
        <element id="MedicationRequest.subject">
            <path value="MedicationRequest.subject" />
            <short value="Who the prescription is for" />
            <definition value="Patient resource representing the person to whom the medical product will be given.\nWhen the patient has a Swedish personal identity number (personnummer) the patient shall be provided as a referenced Patient resorce. If the patient does not have a Swedish personal identity number the Patient resource should be contained in the MedicationRequest resource." />
            <type>
                <code value="Reference" />
                <targetProfile value="http://electronichealth.se/fhir/StructureDefinition/NLLPatient" />
                <aggregation value="contained" />
                <aggregation value="referenced" />
            </type>
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="Patientreferens" />
            </mapping>
        </element>
        <element id="MedicationRequest.authoredOn">
            <path value="MedicationRequest.authoredOn" />
            <short value="When prescription was initially authored" />
            <definition value="The date and time when the prescription was authored." />
            <comment value="The time part is not mandatory, only a date may be provided." />
            <min value="1" />
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="Utf&#228;rdandedatum" />
            </mapping>
        </element>
        <element id="MedicationRequest.requester">
            <path value="MedicationRequest.requester" />
            <short value="The practitioner who prescribed the article" />
            <definition value="The practitioner who prescribed the article" />
            <min value="1" />
            <type>
                <code value="Reference" />
                <targetProfile value="http://electronichealth.se/fhir/StructureDefinition/NLLPractitioner" />
                <aggregation value="contained" />
            </type>
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="Utf&#228;rdande f&#246;rskrivare" />
            </mapping>
        </element>
        <element id="MedicationRequest.reasonCode">
            <path value="MedicationRequest.reasonCode" />
            <short value="Reason for the treatment" />
            <definition value="The reason stated by the practitioner for ordering a medical product (behandlingsorsak). A code from &quot;Nationell k&#228;lla f&#246;r ordinationsorsak&quot; which is a code system that is defined by the Swedish National Board of Health and Welfare (Socialstyrelsen). The code system consists of SnomedCT codes for reasons. Each medical product has of a selection of valid SnomedCT reason codes.\nThe reason shall also be expressed in a way that can be easily understood by the patient (behandlings&#228;ndam&#229;l). This should be entered in nllPatientTreatmentReason.\nIf there is no available code that describes the reason, then the code &quot;OTH&quot; (Other) shall be used. In that case a text describing the reason must be provided in reasonCode.text." />
            <comment value="_" />
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <valueSet value="http://electronichealth.se/fhir/ValueSet/nll-snomed-behandlingsorsak" />
            </binding>
            <mapping>
                <identity value="EHM" />
                <map value="Behandlingsorsak" />
            </mapping>
        </element>
        <element id="MedicationRequest.reasonCode.extension:nlldataAbsentReason">
            <path value="MedicationRequest.reasonCode.extension" />
            <sliceName value="nlldataAbsentReason" />
            <short value="masked" />
            <definition value="Marks masked data, ie why data is missing." />
            <type>
                <code value="Extension" />
                <profile value="http://hl7.org/fhir/StructureDefinition/data-absent-reason" />
            </type>
            <mustSupport value="true" />
            <isModifier value="false" />
            <binding>
                <strength value="required" />
                <valueSet value="http://electronichealth.se/fhir/ValueSet/data-absent-reason" />
            </binding>
        </element>
        <element id="MedicationRequest.reasonCode.extension:nlldataAbsentReason.value[x]">
            <path value="MedicationRequest.reasonCode.extension.value[x]" />
            <short value="Masked" />
        </element>
        <element id="MedicationRequest.reasonCode.coding">
            <path value="MedicationRequest.reasonCode.coding" />
            <min value="1" />
            <max value="1" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationRequest.reasonCode.coding.system">
            <path value="MedicationRequest.reasonCode.coding.system" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationRequest.reasonCode.coding.version">
            <path value="MedicationRequest.reasonCode.coding.version" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationRequest.reasonCode.coding.code">
            <path value="MedicationRequest.reasonCode.coding.code" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationRequest.reasonCode.text">
            <path value="MedicationRequest.reasonCode.text" />
            <short value="Other reason" />
            <definition value="If no code could be chosen from &quot;Nationell k&#228;lla f&#246;r ordinationsorsak&quot; an other reason may be entered here." />
            <comment value="Maximum string length: 255" />
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="Beskrivning annan behandlingsorsak" />
            </mapping>
        </element>
        <element id="MedicationRequest.note">
            <path value="MedicationRequest.note" />
            <definition value="Prescriptions in the Swedish National Medication List can contain 4 different kinds of notes:\npre=Prescribers comment (F&#246;rskrivarens kommentar, read/write)\npha=Pharmacists comment (Apotekets kommentar, read/write)\nnot=Prescribers note (Notat f&#246;rskrivare, read only, will be deprecated)\ndli=Delivery message (Leveransmeddelande, read only, will be deprecated)" />
            <max value="4" />
            <type>
                <code value="Annotation" />
                <profile value="http://electronichealth.se/fhir/StructureDefinition/NLLAnnotation" />
            </type>
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="Apotekets kommentar, F&#246;rskrivarens kommentar, Leveransmeddelande, Notat f&#246;rskrivare" />
            </mapping>
        </element>
        <element id="MedicationRequest.note.extension:nllMedReqNoteType">
            <path value="MedicationRequest.note.extension" />
            <sliceName value="nllMedReqNoteType" />
            <short value="Type of note" />
        </element>
        <element id="MedicationRequest.note.text">
            <path value="MedicationRequest.note.text" />
            <comment value="Maximum string length prescribers comment (F&#246;rskrivarens kommentar): 35\nMaximum string length pharmacists comment (Apotekets kommentar): 512\nMaximum string length prescribers note (Notat f&#246;rskrivare): 255\nMaximum string length delivery message (Leveransmeddelande): 35" />
        </element>
        <element id="MedicationRequest.dosageInstruction">
            <path value="MedicationRequest.dosageInstruction" />
            <short value="How the medication should be taken" />
            <definition value="Mandatory for medications and technical spirit" />
            <type>
                <code value="Dosage" />
                <profile value="http://electronichealth.se/fhir/StructureDefinition/NLLDosage" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="MedicationRequest.dosageInstruction.extension:nllAdministeringInstruction">
            <path value="MedicationRequest.dosageInstruction.extension" />
            <sliceName value="nllAdministeringInstruction" />
        </element>
        <element id="MedicationRequest.dosageInstruction.extension:nllAdministeringInstruction.value[x]">
            <path value="MedicationRequest.dosageInstruction.extension.value[x]" />
            <mapping>
                <identity value="EHM" />
                <map value="Administreringsinstruktion" />
            </mapping>
        </element>
        <element id="MedicationRequest.dosageInstruction.patientInstruction">
            <path value="MedicationRequest.dosageInstruction.patientInstruction" />
            <definition value="Dosage instructions in terms that are understood by the patient." />
        </element>
        <element id="MedicationRequest.dispenseRequest">
            <path value="MedicationRequest.dispenseRequest" />
            <min value="1" />
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="Expedieringsdetaljer" />
            </mapping>
        </element>
        <element id="MedicationRequest.dispenseRequest.extension">
            <path value="MedicationRequest.dispenseRequest.extension" />
            <min value="3" />
        </element>
        <element id="MedicationRequest.dispenseRequest.extension:nllNumberOfPackagesPrescribed">
            <path value="MedicationRequest.dispenseRequest.extension" />
            <sliceName value="nllNumberOfPackagesPrescribed" />
            <short value="Number of packages prescribed per dispense" />
            <definition value="The number of packages prescribed per dispense. Not used for dose dispensed prescriptions." />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="http://electronichealth.se/fhir/StructureDefinition/NLLNumberOfPackagesPrescribed" />
            </type>
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="Antal f&#246;rpackningar per uttag" />
            </mapping>
        </element>
        <element id="MedicationRequest.dispenseRequest.extension:nllDosePackaging">
            <path value="MedicationRequest.dispenseRequest.extension" />
            <sliceName value="nllDosePackaging" />
            <short value="Dose dispensed prescription" />
            <definition value="Indicates if the prescription should be dose dispensed." />
            <min value="1" />
            <type>
                <code value="Extension" />
                <profile value="http://electronichealth.se/fhir/StructureDefinition/NLLDosePackaging" />
            </type>
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="Dosdispensering" />
            </mapping>
        </element>
        <element id="MedicationRequest.dispenseRequest.extension:nllPrescriptionCommunicableDiseasesAct">
            <path value="MedicationRequest.dispenseRequest.extension" />
            <sliceName value="nllPrescriptionCommunicableDiseasesAct" />
            <short value="Prescription according to the Communicable Diseases Act" />
            <definition value="Indicates of the prescription is created according to the Communicable Diseases Act (Smittskyddslagen)" />
            <type>
                <code value="Extension" />
                <profile value="http://electronichealth.se/fhir/StructureDefinition/NLLPrescriptionCommunicableDiseasesAct" />
            </type>
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="F&#246;rskrivning enligt smittskyddslagen" />
            </mapping>
        </element>
        <element id="MedicationRequest.dispenseRequest.extension:nllPatientPharmaceuticalBenefitsAct">
            <path value="MedicationRequest.dispenseRequest.extension" />
            <sliceName value="nllPatientPharmaceuticalBenefitsAct" />
            <short value="Patient eligible to benefits" />
            <definition value="Indicates if the patient is eligible to benefits according to the Pharmaceutical Benefits Act (Lag (2002:160) om l&#228;kemedelsf&#246;rm&#229;n)" />
            <min value="1" />
            <type>
                <code value="Extension" />
                <profile value="http://electronichealth.se/fhir/StructureDefinition/NLLPatientPharmaceuticalBenefitsAct" />
            </type>
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="Patient f&#246;rm&#229;nsber&#228;ttigad" />
            </mapping>
        </element>
        <element id="MedicationRequest.dispenseRequest.extension:nllConditionsPharmaceuticalBenefitsAct">
            <path value="MedicationRequest.dispenseRequest.extension" />
            <sliceName value="nllConditionsPharmaceuticalBenefitsAct" />
            <short value="Pharmaceutical benefits act conditions" />
            <definition value="Only relevant if the medication has restrictions for reimbursement.\nIndicates if the patient fulfills the conditions for the prescribed medication." />
            <type>
                <code value="Extension" />
                <profile value="http://electronichealth.se/fhir/StructureDefinition/NLLConditionsPharmaceuticalBenefitsAct" />
            </type>
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="F&#246;rm&#229;nsvillkor uppfyllda" />
            </mapping>
        </element>
        <element id="MedicationRequest.dispenseRequest.extension:nllTotalQuantity">
            <path value="MedicationRequest.dispenseRequest.extension" />
            <sliceName value="nllTotalQuantity" />
            <short value="Amount of medication to supply in total" />
            <definition value="Amount of medication to supply in total for this prescription. Calculated be the Swedish E-health Agency." />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="http://electronichealth.se/fhir/StructureDefinition/NLLTotalQuantity" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:prescribed">
            <path value="MedicationRequest.dispenseRequest.extension.extension" />
            <sliceName value="prescribed" />
            <short value="Total amount prescribed" />
            <definition value="Total amount prescribed in this prescription. Calculated by the Swedish e-health Agency. Not used for dose dispensed prescriptions.\nThe unit used is the unit specified in VARA (the Swedish national registry for medical products) for the prescribed medical product." />
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="F&#246;rskriven m&#228;ngd" />
            </mapping>
        </element>
        <element id="MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:prescribed.value[x]">
            <path value="MedicationRequest.dispenseRequest.extension.extension.value[x]" />
            <min value="1" />
        </element>
        <element id="MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:prescribed.value[x].value">
            <path value="MedicationRequest.dispenseRequest.extension.extension.value[x].value" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:remaining">
            <path value="MedicationRequest.dispenseRequest.extension.extension" />
            <sliceName value="remaining" />
            <short value="Quantity remaining" />
            <definition value="The remaining quantity that may be dispensed for this prescription. Calculated by the Swedish e-health Agency.  Not used for dose dispensed prescriptions.\nThe unit used is the unit specified in VARA (the Swedish national registry for medical products) for the prescribed medical product." />
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="Kvarvarande m&#228;ngd" />
            </mapping>
        </element>
        <element id="MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:remaining.value[x]">
            <path value="MedicationRequest.dispenseRequest.extension.extension.value[x]" />
            <min value="1" />
        </element>
        <element id="MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:remaining.value[x].value">
            <path value="MedicationRequest.dispenseRequest.extension.extension.value[x].value" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationRequest.dispenseRequest.extension:nllBenefitDetails">
            <path value="MedicationRequest.dispenseRequest.extension" />
            <sliceName value="nllBenefitDetails" />
            <short value="Benefit calculation information" />
            <definition value="Information needed for calculating benefit" />
            <type>
                <code value="Extension" />
                <profile value="http://electronichealth.se/fhir/StructureDefinition/NLLBenefitDetails" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:dailyBenefitQuantityUnfeasible">
            <path value="MedicationRequest.dispenseRequest.extension.extension" />
            <sliceName value="dailyBenefitQuantityUnfeasible" />
            <short value="Indication if daily quantity can&#39;t be calculated" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:dailyBenefitQuantity">
            <path value="MedicationRequest.dispenseRequest.extension.extension" />
            <sliceName value="dailyBenefitQuantity" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:nextDispenseWithinBenefit">
            <path value="MedicationRequest.dispenseRequest.extension.extension" />
            <sliceName value="nextDispenseWithinBenefit" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationRequest.dispenseRequest.extension:nllNumberOfFillsRemaining">
            <path value="MedicationRequest.dispenseRequest.extension" />
            <sliceName value="nllNumberOfFillsRemaining" />
            <short value="Number of fills remaining" />
            <definition value="The number of fills this prescriptions has remaining. Calculated by the Swedish E-health Agency. Not used for dose dispensed prescriptions." />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="http://electronichealth.se/fhir/StructureDefinition/NLLNumberOfFillsRemaining" />
            </type>
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="Antal uttag kvar" />
            </mapping>
        </element>
        <element id="MedicationRequest.dispenseRequest.extension:nllReceivingPharmacy">
            <path value="MedicationRequest.dispenseRequest.extension" />
            <sliceName value="nllReceivingPharmacy" />
            <short value="Receiving Pharmacy" />
            <definition value="Receiving Pharmacy is used when the patient does not have a Swedish national identification number (&quot;personnummer&quot;). The patient has to pick up his/her medication at the receiving pharmacy where he/she is identified through name, birthdate and sex.\nThe receiving pharmacy is tied to the physical adress. This means that if the premises are taken over by a different organization, the prescription will still be available at the same physical adress," />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="http://electronichealth.se/fhir/StructureDefinition/NLLPharmacyReference" />
            </type>
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="Mottagande apotek" />
            </mapping>
        </element>
        <element id="MedicationRequest.dispenseRequest.extension:nllPrescriberCostCenter">
            <path value="MedicationRequest.dispenseRequest.extension" />
            <sliceName value="nllPrescriberCostCenter" />
            <short value="The prescribers cost center" />
            <definition value="The prescribers cost center code when making the prescription. Used for benefit billing within the regions." />
            <comment value="Minimum string length: 3\nMaximum string length: 13" />
            <min value="1" />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="http://electronichealth.se/fhir/StructureDefinition/NLLPrescriberCostCenter" />
            </type>
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="Kostnadsst&#228;lle (arbetsplatskod)" />
            </mapping>
        </element>
        <element id="MedicationRequest.dispenseRequest.extension:nllPrescriberCostCenter.value[x]">
            <path value="MedicationRequest.dispenseRequest.extension.value[x]" />
        </element>
        <element id="MedicationRequest.dispenseRequest.extension:nllPrescriberCostCenter.value[x].value">
            <path value="MedicationRequest.dispenseRequest.extension.value[x].value" />
            <maxLength value="13" />
        </element>
        <element id="MedicationRequest.dispenseRequest.extension:nllSubstitutionOpposed">
            <path value="MedicationRequest.dispenseRequest.extension" />
            <sliceName value="nllSubstitutionOpposed" />
            <short value="Substitution opposed" />
            <definition value="Only used for dose dispensed prescriptions.\nSubstitution is opposed (sv: bytes ej) by either the pharmacist or the patient. This information can be saved on the prescription as the patient isn&#39;t present when the dispensing takes place." />
            <type>
                <code value="Extension" />
                <profile value="http://electronichealth.se/fhir/StructureDefinition/NLLSubstitutionOpposed" />
            </type>
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <valueSet value="http://ehalsomyndigheten.se/fhir/ValueSet/substitution-opposition-types" />
            </binding>
            <mapping>
                <identity value="EHM" />
                <map value="Bytes ej" />
            </mapping>
        </element>
        <element id="MedicationRequest.dispenseRequest.extension:nllNumberOfDispensesAllowed">
            <path value="MedicationRequest.dispenseRequest.extension" />
            <sliceName value="nllNumberOfDispensesAllowed" />
            <short value="Number of dispenses allowed" />
            <definition value="Number of dispenses allowed (sv. f&#246;rskrivet antal uttag) is the common way in Sweden of communicating the total number of dispenses that can be performed. The standard field number of repeats allowed is similar but does not include the first dispense. The two terms are related by the formula numberOfRepeatsAllowed +1 = numberOfDispensesAllowed." />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="http://electronichealth.se/fhir/StructureDefinition/NLLNumberOfDispensesAllowed" />
            </type>
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="F&#246;rskrivet antal uttag" />
            </mapping>
        </element>
        <element id="MedicationRequest.dispenseRequest.extension:nllNextDateDispenseInterval">
            <path value="MedicationRequest.dispenseRequest.extension" />
            <sliceName value="nllNextDateDispenseInterval" />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="http://electronichealth.se/fhir/StructureDefinition/NLLNextDateDispenseInterval" />
            </type>
            <mustSupport value="true" />
            <isModifier value="false" />
        </element>
        <element id="MedicationRequest.dispenseRequest.extension:nllNextDateDispenseInterval.url">
            <path value="MedicationRequest.dispenseRequest.extension.url" />
            <fixedUri value="http://electronichealth.se/fhir/StructureDefinition/nllNextDateDispenseInterval" />
        </element>
        <element id="MedicationRequest.dispenseRequest.initialFill">
            <path value="MedicationRequest.dispenseRequest.initialFill" />
            <short value="Indication for Trial Fill" />
            <definition value="Used for indicating &quot;Trial Fill&quot;. May only be one package, usually the smallest package available. Not used for dose dispensed prescriptions." />
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="Startf&#246;rpackning" />
            </mapping>
        </element>
        <element id="MedicationRequest.dispenseRequest.initialFill.quantity">
            <path value="MedicationRequest.dispenseRequest.initialFill.quantity" />
            <short value="Trial fill quantity, one package" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationRequest.dispenseRequest.initialFill.quantity.value">
            <path value="MedicationRequest.dispenseRequest.initialFill.quantity.value" />
            <min value="1" />
            <fixedDecimal value="1" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationRequest.dispenseRequest.initialFill.quantity.unit">
            <path value="MedicationRequest.dispenseRequest.initialFill.quantity.unit" />
            <fixedString value="Package" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationRequest.dispenseRequest.initialFill.quantity.system">
            <path value="MedicationRequest.dispenseRequest.initialFill.quantity.system" />
            <fixedUri value="http://unitsofmeasure.org" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationRequest.dispenseRequest.initialFill.quantity.code">
            <path value="MedicationRequest.dispenseRequest.initialFill.quantity.code" />
            <min value="1" />
            <fixedCode value="{Package}" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationRequest.dispenseRequest.initialFill.duration">
            <path value="MedicationRequest.dispenseRequest.initialFill.duration" />
            <max value="0" />
        </element>
        <element id="MedicationRequest.dispenseRequest.dispenseInterval">
            <path value="MedicationRequest.dispenseRequest.dispenseInterval" />
            <definition value="The minimum period of time that must occur between dispenses of the medical product. Not used for dose dispensed prescriptions." />
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="Expedieringsintervall" />
            </mapping>
        </element>
        <element id="MedicationRequest.dispenseRequest.dispenseInterval.value">
            <path value="MedicationRequest.dispenseRequest.dispenseInterval.value" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationRequest.dispenseRequest.dispenseInterval.system">
            <path value="MedicationRequest.dispenseRequest.dispenseInterval.system" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationRequest.dispenseRequest.dispenseInterval.code">
            <path value="MedicationRequest.dispenseRequest.dispenseInterval.code" />
            <min value="1" />
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <valueSet value="http://electronichealth.se/fhir/ValueSet/dispense-interval-units" />
            </binding>
            <mapping>
                <identity value="EHM" />
                <map value="Expedieringsintervall enhet" />
            </mapping>
        </element>
        <element id="MedicationRequest.dispenseRequest.validityPeriod">
            <path value="MedicationRequest.dispenseRequest.validityPeriod" />
            <definition value="This indicates the validity period of a prescription (stale dating the Prescription). I no validityPeriod.end is provided, then it will be calculated by the Swedish E-health Agency. The validity period may not be longer than one year." />
            <mustSupport value="true" />
        </element>
        <element id="MedicationRequest.dispenseRequest.validityPeriod.extension:nllFirstDispenseBefore">
            <path value="MedicationRequest.dispenseRequest.validityPeriod.extension" />
            <sliceName value="nllFirstDispenseBefore" />
            <short value="First dispense must occur before" />
            <definition value="Not used for dose dispensed prescriptions\nThe first dispense must occur before this date. If not, the prescription will be invalidated." />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="http://electronichealth.se/fhir/StructureDefinition/NLLFirstDispenseBefore" />
            </type>
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="F&#246;rsta uttag f&#246;re" />
            </mapping>
        </element>
        <element id="MedicationRequest.dispenseRequest.validityPeriod.end">
            <path value="MedicationRequest.dispenseRequest.validityPeriod.end" />
            <short value="Last date when dispensing is allowed" />
            <definition value="Last date when dispensing is allowed. If no date is provided it will be calculated by the Swedish E-health Agency.\nNB! This is only handled as a date, the time part of the dateTime is not used." />
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="Sista giltighetsdag" />
            </mapping>
        </element>
        <element id="MedicationRequest.dispenseRequest.numberOfRepeatsAllowed">
            <path value="MedicationRequest.dispenseRequest.numberOfRepeatsAllowed" />
            <definition value="Not used for dose dispensed prescriptions.\nAn integer indicating the number of times, in addition to the original dispense, (aka refills or repeats) that the patient can receive the prescribed medication. Usage Notes: This integer does not include the original order dispense. This means that if an order indicates dispense 30 tablets plus &quot;3 repeats&quot;, then the order can be dispensed a total of 4 times and the patient can receive a total of 120 tablets.  A prescriber may explicitly say that zero refills are permitted after the initial dispense." />
            <comment value="If using this as basis for displaying &quot;total number of authorized fills&quot;, add 1 to this number. This is because the total number of dispenses is the original dispense + additional dispenses stipulated by &quot;number of repeats allowed&quot;." />
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="F&#246;rskrivet antal uttag" />
                <comment value="NB! F&#246;rskrivet antal uttag -1" />
            </mapping>
        </element>
        <element id="MedicationRequest.dispenseRequest.quantity">
            <path value="MedicationRequest.dispenseRequest.quantity" />
            <definition value="The amount that is to be dispensed for one fill.\nThe unit used is the unit specified in VARA (the Swedish national registry for medical products) for the prescribed medical product.\nCalculated by the Swedish E-health Agency based on nllNumberOfPackagesPrescibed and the quantity of medication in the package.\nNot used for dose dispensed prescriptions." />
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="F&#246;rskriven m&#228;ngd per uttag" />
            </mapping>
        </element>
        <element id="MedicationRequest.dispenseRequest.quantity.value">
            <path value="MedicationRequest.dispenseRequest.quantity.value" />
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="F&#246;rskriven m&#228;ngd per uttag" />
            </mapping>
        </element>
        <element id="MedicationRequest.substitution">
            <path value="MedicationRequest.substitution" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationRequest.substitution.allowed[x]">
            <path value="MedicationRequest.substitution.allowed[x]" />
            <comment value="This element is labeled as a modifier because whether substitution is allow or not, it cannot be ignored.\nA missing value is the same as substitution allowed" />
            <type>
                <code value="boolean" />
            </type>
            <meaningWhenMissing value="A missing value is the same as substitution allowed" />
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="Substitution till&#229;ten" />
            </mapping>
        </element>
        <element id="MedicationRequest.priorPrescription">
            <path value="MedicationRequest.priorPrescription" />
            <short value="A prescription that is being/has been replaced/renewed" />
            <definition value="When replacing or renewing a prescription, the version of the replaced/renewed prescription must be provided in the POST operation.\nWhen reading a prescription, the reference to the replaced/renewed prescription will not be version specific." />
            <type>
                <code value="Reference" />
                <targetProfile value="http://electronichealth.se/fhir/StructureDefinition/NLLMedicationRequest" />
                <aggregation value="referenced" />
                <versioning value="either" />
            </type>
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="Referens till tidigare f&#246;rskrivning" />
            </mapping>
        </element>
        <element id="MedicationRequest.detectedIssue">
            <path value="MedicationRequest.detectedIssue" />
            <short value="Automatic Format and Constitution Control warning (AFF-varning)" />
            <definition value="Read only for MedicationRequest.\nAutomatic Format and Constitution Control (AFF) warning generated by the Swedish eHealth Agency according to the current conditions." />
            <type>
                <code value="Reference" />
                <targetProfile value="http://electronichealth.se/fhir/StructureDefinition/NLLDetectedIssue" />
                <aggregation value="contained" />
            </type>
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="AFF-varning" />
            </mapping>
        </element>
    </differential>
</StructureDefinition>

{
    "resourceType": "StructureDefinition",
    "id": "dcae1550-a48a-4d44-a431-73c47c9dd075",
    "meta": {
        "versionId": "1",
        "lastUpdated": "08/29/2024 09:26:59"
    },
    "url": "http://electronichealth.se/fhir/StructureDefinition/NLLMedicationRequest",
    "version": "1.4.1",
    "name": "NLLMedicationRequest",
    "status": "active",
    "date": "2024-08-29",
    "publisher": "Swedish eHealth Agency",
    "fhirVersion": "4.0.1",
    "mapping":  [
        {
            "identity": "EHM",
            "name": "E-hälsomyndigheten concept"
        }
    ],
    "kind": "resource",
    "abstract": false,
    "type": "MedicationRequest",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/MedicationRequest",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "MedicationRequest",
                "path": "MedicationRequest",
                "short": "A prescription for a patient",
                "definition": "MedicationRequest in the National Swedish Medication List is used for prescriptions for a patient.\nA prescription can be made for either a medicine package or for a reimbursed consumable."
            },
            {
                "id": "MedicationRequest.id",
                "path": "MedicationRequest.id",
                "comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.\nThis id is identified by the URI http://electronichealth.se/identifier/nllmedicationrequestid in documentation and external systems.",
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Förskrivnings-id"
                    }
                ]
            },
            {
                "id": "MedicationRequest.meta",
                "path": "MedicationRequest.meta",
                "mustSupport": true
            },
            {
                "id": "MedicationRequest.meta.versionId",
                "path": "MedicationRequest.meta.versionId",
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Förskrivningsversion"
                    }
                ]
            },
            {
                "id": "MedicationRequest.meta.security",
                "path": "MedicationRequest.meta.security",
                "mustSupport": true,
                "binding": {
                    "strength": "extensible",
                    "valueSet": "http://ehalsomyndigheten.se/fhir/ValueSet/security-labels"
                }
            },
            {
                "id": "MedicationRequest.meta.security.system",
                "path": "MedicationRequest.meta.security.system",
                "mustSupport": true
            },
            {
                "id": "MedicationRequest.meta.security.version",
                "path": "MedicationRequest.meta.security.version",
                "mustSupport": true
            },
            {
                "id": "MedicationRequest.meta.security.code",
                "path": "MedicationRequest.meta.security.code",
                "mustSupport": true
            },
            {
                "id": "MedicationRequest.extension",
                "path": "MedicationRequest.extension",
                "min": 2
            },
            {
                "id": "MedicationRequest.extension:nllPatientTreatmentReason",
                "path": "MedicationRequest.extension",
                "sliceName": "nllPatientTreatmentReason",
                "short": "The treatment reason described for the patient",
                "definition": "The reason for the treatment described in a way that is understood by the patient (behandlingsändamål). \nA text can be selected from \"Nationell källa för ordinationsorsak\" (NKOO). It is also possible to enter free text. \nNKOO is a code system that is defined by the Swedish National Board of Health and Welfare (Socialstyrelsen). The code system consists of SnomedCT codes for reasons (behandlingsorsak). Each medical product has a selection of valid SnomedCT reason codes, and in connection with the codes are the available patient reasons. The corresponding patient text could be entered here in \"nllPatientTreatmentReason\", and the SnomedCT reason code (behandlingsorsak) should be entered in \"reasonCode\".",
                "comment": "Maximum string length: 256",
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://electronichealth.se/fhir/StructureDefinition/NLLPatientTreatmentReason"
                        ]
                    }
                ],
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Behandlingsändamål"
                    }
                ]
            },
            {
                "id": "MedicationRequest.extension:nllPrescriptionChain",
                "path": "MedicationRequest.extension",
                "sliceName": "nllPrescriptionChain",
                "short": "Prescription chain id",
                "definition": "Id used to identify all prescriptions in one prescription chain.\nA prescription chain is a set of prescriptions that are linked together in chronological order (The attribute priorPrescription is used to find the previos prescription.)\nA prescription chain is created ie when a prescription is renewed or replaced. The purpose is to be able to provide a grouping of related prescriptions.\nIf a Prescription chain id is not provided in a POST of a MedicationRequest, a new prescription chain id is set by the Swedish eHealth Agency when the prescription is created. Prescription chain id is available on all prescriptions.",
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://electronichealth.se/fhir/StructureDefinition/NLLPrescriptionChain"
                        ]
                    }
                ],
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Förskrivningskedje-id"
                    }
                ]
            },
            {
                "id": "MedicationRequest.extension:nllPrescriptionFormat",
                "path": "MedicationRequest.extension",
                "sliceName": "nllPrescriptionFormat",
                "short": "Current prescription format",
                "definition": "Current prescription format can be either \"electronic\" (Elektroniskt) or \"paper\" (Papper). If the prescription has been printed out on paper, i.e. the format is \"paper\" , then the patient needs to bring the print-out with him to the pharmacy to be able to get a dispense.",
                "min": 1,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://electronichealth.se/fhir/StructureDefinition/NLLPrescriptionFormat"
                        ]
                    }
                ],
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "valueSet": "http://ehalsomyndigheten.se/fhir/ValueSet/prescription-formats"
                },
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Aktuellt format"
                    }
                ]
            },
            {
                "id": "MedicationRequest.extension:nllTreatmentDates",
                "path": "MedicationRequest.extension",
                "sliceName": "nllTreatmentDates",
                "definition": "Treatment dates as defined by the Swedish law \"Lag (2018:1212) om nationell läkemedelslista\", chapter 3, 8§, section 5. \nThe latest date when the medical treatment should be either reviewed or ended.",
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://electronichealth.se/fhir/StructureDefinition/NLLTreatmentDates"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "MedicationRequest.extension:nllTreatmentDates.extension:treatmentReviewDate",
                "path": "MedicationRequest.extension.extension",
                "sliceName": "treatmentReviewDate",
                "short": "Treatment review date",
                "definition": "The latest date at which a review of the ongoing treatment must be made.",
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Senaste datum för uppföljning av behandling"
                    }
                ]
            },
            {
                "id": "MedicationRequest.extension:nllTreatmentDates.extension:treatmentEndDate",
                "path": "MedicationRequest.extension.extension",
                "sliceName": "treatmentEndDate",
                "short": "Treatment end date",
                "definition": "The latest date at which the prescriber orders that the treatment must end.",
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Senaste datum för avslut av behandling"
                    }
                ]
            },
            {
                "id": "MedicationRequest.extension:nllRegistrationBasis",
                "path": "MedicationRequest.extension",
                "sliceName": "nllRegistrationBasis",
                "short": "Format when the prescription was registered",
                "definition": "The format of the basis for the registration of the prescription. A prescriber can only register prescriptions in electronic format in the Swedish National Medication List. A pharmacy can also register a prescription based on  paper prescription, or based on a phone call from a prescriber.\nThis value is entered when creating the prescription, and is never updated.",
                "min": 1,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://electronichealth.se/fhir/StructureDefinition/NLLRegistrationBasis"
                        ]
                    }
                ],
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "valueSet": "http://ehalsomyndigheten.se/fhir/ValueSet/registration-basis"
                },
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Typ av registreringsunderlag"
                    }
                ]
            },
            {
                "id": "MedicationRequest.extension:nllUsageDates",
                "path": "MedicationRequest.extension",
                "sliceName": "nllUsageDates",
                "short": "Usage dates",
                "definition": "Dates that are used for scheduling the use of the prescribed article.",
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://electronichealth.se/fhir/StructureDefinition/NLLUsageDates"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "MedicationRequest.extension:nllUsageDates.extension:usageStartDate",
                "path": "MedicationRequest.extension.extension",
                "sliceName": "usageStartDate",
                "short": "When the patient should start using the medication.",
                "definition": "The date when the patient should start administering the medication according to the prescription.",
                "mustSupport": true
            },
            {
                "id": "MedicationRequest.extension:nllUsageDates.extension:usageEndDate",
                "path": "MedicationRequest.extension.extension",
                "sliceName": "usageEndDate",
                "short": "When the patient should stop using the medication.",
                "definition": "The date when the patient should stop administering the medication according to current prescription.",
                "mustSupport": true
            },
            {
                "id": "MedicationRequest.extension:nllUsageDates.extension:scheduleStartDate",
                "path": "MedicationRequest.extension.extension",
                "sliceName": "scheduleStartDate",
                "definition": "Set by the Swedish eHealth Agency.\nDate used in renewed prescriptions whith repeating dosages for calculating the current day in the schedule. Used for repeating dosages with \"time of day\" or \"when\" (sv tillfällesdosering) and a UsageStartDate (första doseringsdag).",
                "comment": "Schedule Start Date is a mechanism for calculating the current day in the schedule when a prescription with a repeating schedule has been renewed once or several times. Schedule Start Date is the original Usage Start Date form the first prescription when the schedule was defined. \nExample: The first prescription had a Usage Start Date which was 2020-08-23 and the schedule repeats every second day (\"Take every second day\"). Then the Schedule Start Date will be set to 2020-08-23 and togehter with the instructions of the schedule it is possible calculate which day of the schedule any given date will correspond to, ie a day when the patient should take the medication or a day when no medication should be administered.",
                "mustSupport": true
            },
            {
                "id": "MedicationRequest.extension:nllCompletePrescriptionChoice",
                "path": "MedicationRequest.extension",
                "sliceName": "nllCompletePrescriptionChoice",
                "short": "Prescription completion descision",
                "definition": "Only used for input.\nWhen 12% or less of the total quantity of the prescribed medication is left, the prescription will automatically be set to status \"Completed\". \nA pharmacist can make a descision to overrule the automatic rules by either choosing to set the prescription status to \"Completed\" or to keep the status \"Active\".",
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://electronichealth.se/fhir/StructureDefinition/NLLCompletePrescriptionChoice"
                        ]
                    }
                ],
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "valueSet": "http://ehalsomyndigheten.se/fhir/ValueSet/complete-prescription-choices"
                },
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Beslut slutexpediering"
                    }
                ]
            },
            {
                "id": "MedicationRequest.extension:nllOrdinationsId",
                "path": "MedicationRequest.extension",
                "sliceName": "nllOrdinationsId",
                "short": "OrdinationsId from OR (Receptdepå human)",
                "definition": "Calculated by the Swedish eHealth Agency. Not used for input.\nLegacy id used for identifying prescriptions which is used in the OR (Receptdepå human) API.\nIn OR this corresponds to ordinationsId, which is unique for each version of the prescription.\nThis attribute will be removed after the end of the transition period.",
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://electronichealth.se/fhir/StructureDefinition/NLLOrdinationsId"
                        ]
                    }
                ],
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "OR-OrdinationsId"
                    }
                ]
            },
            {
                "id": "MedicationRequest.extension:nllTidigareOrdinationsid",
                "path": "MedicationRequest.extension",
                "sliceName": "nllTidigareOrdinationsid",
                "short": "Tidigare OrdinationsId OR (Receptdepå human)",
                "definition": "Calculated by the Swedish eHealth Agency. Not used for input.\nLegacy id used for identifying prescriptions which is used in the OR (Receptdepå human) API.\n\"Tidigare OrdinationsId\" is used for identifying a prior prescription originally created in OR (Receptdepå Human) .\nIn OR this corresponds to tidigareOrdinationsId.\nThis attribute will be removed after the end of the transition period.",
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://electronichealth.se/fhir/StructureDefinition/NLLTidigareOrdinationsid"
                        ]
                    }
                ],
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Referens till tidigare OR-ordinations-id"
                    }
                ]
            },
            {
                "id": "MedicationRequest.identifier",
                "path": "MedicationRequest.identifier",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "system"
                        }
                    ],
                    "rules": "open"
                },
                "mustSupport": true
            },
            {
                "id": "MedicationRequest.identifier:NEF",
                "path": "MedicationRequest.identifier",
                "sliceName": "NEF",
                "short": "Legacy ids used in NEF and OR",
                "definition": "Ids used for identifying prescriptions originally created in NEF or OR.\nIn OR this corresponds to originalOrdinationsId, which is the same as PrescriptionSetId in NEF. In OR a originalOrdinationsId/PrescriptionSetId always correspons to one unique prescription.\nIn NEF the combination of PrescriptionSetId-PrescriptionItemId corresponds to one unique prescription.\nPrescriptionItemId is made up from RowId-ProductRowId.\noriginalOrdinationsId/PrescriptionSetId is in the form of a UUID.\nRowId and ProductRowId are counters.\nThese attributes will be removed after the end of the transition period.",
                "max": "1",
                "mustSupport": true
            },
            {
                "id": "MedicationRequest.identifier:NEF.extension:NEFIdParts",
                "path": "MedicationRequest.identifier.extension",
                "sliceName": "NEFIdParts",
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://electronichealth.se/fhir/StructureDefinition/NLLNEFId"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "MedicationRequest.identifier:NEF.extension:NEFIdParts.extension:PrescriptionSetId",
                "path": "MedicationRequest.identifier.extension.extension",
                "sliceName": "PrescriptionSetId",
                "definition": "NEF: PrescriptionSetId, OR: Originalordinationsid is a legacy identifier used by NEF/PIRR and OR. Every prescription created by systems connected before Swedish National Medication List will have a PrescriptionSetId/orignalordinationsid. However, it does not allways identify a unique prescription. To search for a unique prescriptions the RowId/radnummer and ProductRowId/produktradnummer may be needed as well.",
                "comment": "Maximum string length: 36",
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Originalordinations-id"
                    }
                ]
            },
            {
                "id": "MedicationRequest.identifier:NEF.extension:NEFIdParts.extension:PrescriptionSetId.value[x]",
                "path": "MedicationRequest.identifier.extension.extension.value[x]",
                "maxLength": 36
            },
            {
                "id": "MedicationRequest.identifier:NEF.extension:NEFIdParts.extension:RowId",
                "path": "MedicationRequest.identifier.extension.extension",
                "sliceName": "RowId",
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Radnummer"
                    }
                ]
            },
            {
                "id": "MedicationRequest.identifier:NEF.extension:NEFIdParts.extension:ProductRowId",
                "path": "MedicationRequest.identifier.extension.extension",
                "sliceName": "ProductRowId",
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Produktradnummer"
                    }
                ]
            },
            {
                "id": "MedicationRequest.identifier:NEF.system",
                "path": "MedicationRequest.identifier.system",
                "min": 1,
                "fixedUri": "http://electronichealth.se/fhir/NamingSystem/NEFId",
                "mustSupport": true
            },
            {
                "id": "MedicationRequest.identifier:NEF.value",
                "path": "MedicationRequest.identifier.value",
                "short": "The complete NEFid",
                "definition": "Calculated by the Swedish eHealth Agency.\nThe complete NEFid for the specific prescribed article, i.e. a combination of PrescriptionSetId and PrescriptionItemId where applicable. \nPrescriptionItemId is made up from RowId-ProductRowId.\nIn OR only PrescriptionSetId/originalOrdinationsId is used.\noriginalOrdinationsId/PrescriptionSetId is in the form of a UUID.\nRowId and ProductRowId are counters.\nThe format is \"PrescriptionSetId/Originalordinationsid - PrescriptionItemid/RadnummerNEF\",  i.e. UUID-x-y. Example 123e4567-e89b-12d3-a456-426655440000-2-1, where the ending \"2-1\" are RowId-ProductRowId.",
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Kombinerat NEF-id"
                    }
                ]
            },
            {
                "id": "MedicationRequest.status",
                "path": "MedicationRequest.status",
                "short": "active | on-hold | cancelled | completed | stopped",
                "definition": "The status of the prescription. The following statuses will be used: active, cancelled, on-hold (suspended), completed and stopped. The following statuses will not be used: entered-in-error, draft and unknown.",
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "valueSet": "http://electronichealth.se/fhir/ValueSet/medication-request-status"
                },
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Förskrivningsstatus"
                    }
                ]
            },
            {
                "id": "MedicationRequest.statusReason",
                "path": "MedicationRequest.statusReason",
                "definition": "Set by the Swedish E-health Agency.\nReason for the current status of the prescription.",
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "valueSet": "http://ehalsomyndigheten.se/fhir/ValueSet/medication-request-status-reasons"
                },
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Förskrivningsstatusorsak"
                    }
                ]
            },
            {
                "id": "MedicationRequest.statusReason.coding",
                "path": "MedicationRequest.statusReason.coding",
                "max": "1",
                "mustSupport": true
            },
            {
                "id": "MedicationRequest.statusReason.coding.system",
                "path": "MedicationRequest.statusReason.coding.system",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationRequest.statusReason.coding.version",
                "path": "MedicationRequest.statusReason.coding.version",
                "mustSupport": true
            },
            {
                "id": "MedicationRequest.statusReason.coding.code",
                "path": "MedicationRequest.statusReason.coding.code",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationRequest.intent",
                "path": "MedicationRequest.intent",
                "short": "order",
                "definition": "A prescription is always an order.",
                "fixedCode": "order",
                "mustSupport": true
            },
            {
                "id": "MedicationRequest.priority",
                "path": "MedicationRequest.priority",
                "short": "urgent",
                "definition": "Shall only be used for dose dispensed prescriptions. Indicates that actions may need to be taken before next ordinary production date.",
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "valueSet": "http://electronichealth.se/fhir/ValueSet/medication-request-priority"
                },
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Akut förändring"
                    }
                ]
            },
            {
                "id": "MedicationRequest.medication[x]",
                "path": "MedicationRequest.medication[x]",
                "short": "Prescribed article",
                "definition": "Identifies the medical product or medical consumable being prescribed. \nMedical products are prescribed using both NPL-id (medical product) and NPL-pack-id (packaged medical product).\nMedical consumables are prescribed using item number (sv varunummer).",
                "type":  [
                    {
                        "code": "CodeableConcept"
                    }
                ],
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Artikel"
                    }
                ]
            },
            {
                "id": "MedicationRequest.medication[x].coding",
                "path": "MedicationRequest.medication[x].coding",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "system"
                        }
                    ],
                    "rules": "open"
                },
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationRequest.medication[x].coding:nplid",
                "path": "MedicationRequest.medication[x].coding",
                "sliceName": "nplid",
                "short": "NPL-id",
                "definition": "A unique identifier of a medical product according to \"Nationellt produktregister för läkemedel\" provided by the Swedish Medical Products Agency (sv Läkemedelsverket)",
                "comment": "The naming system http://electronichealth.se/fhir/NamingSystem/nplid includes both NPL ID defined by Läkemedelsverket and SB ID defined by E-hälsomyndigheten",
                "max": "1",
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "NPL-id"
                    }
                ]
            },
            {
                "id": "MedicationRequest.medication[x].coding:nplid.system",
                "path": "MedicationRequest.medication[x].coding.system",
                "min": 1,
                "fixedUri": "http://electronichealth.se/fhir/NamingSystem/nplid",
                "mustSupport": true
            },
            {
                "id": "MedicationRequest.medication[x].coding:nplid.code",
                "path": "MedicationRequest.medication[x].coding.code",
                "comment": "Maximum string length: 14",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationRequest.medication[x].coding:nplpackid",
                "path": "MedicationRequest.medication[x].coding",
                "sliceName": "nplpackid",
                "short": "NPL-pack-id",
                "definition": "A unique identifier of a medical product package according to \"Nationellt produktregister för läkemedel\" provided by the Swedish Medical Products Agency (sv Läkemedelsverket)",
                "comment": "The naming system http://electronichealth.se/fhir/NamingSystem/nplpackid includes both NPL-Pack ID defined by Läkemedelsverket and SB-Pack ID defined by E-hälsomyndigheten",
                "max": "1",
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "NPL-pack-id"
                    }
                ]
            },
            {
                "id": "MedicationRequest.medication[x].coding:nplpackid.system",
                "path": "MedicationRequest.medication[x].coding.system",
                "min": 1,
                "fixedUri": "http://electronichealth.se/fhir/NamingSystem/nplpackid",
                "mustSupport": true
            },
            {
                "id": "MedicationRequest.medication[x].coding:nplpackid.code",
                "path": "MedicationRequest.medication[x].coding.code",
                "comment": "Maximum string length: 14",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationRequest.medication[x].coding:varunr",
                "path": "MedicationRequest.medication[x].coding",
                "sliceName": "varunr",
                "short": "Varunummer",
                "definition": "A unique identifier of a medical consumable according to \"Nationellt produktregister för läkemedel\" provided by the Swedish Medical Products Agency (sv Läkemedelsverket)\nAlso a non-unique identifier of a medical product package.",
                "max": "1",
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Varunummer"
                    }
                ]
            },
            {
                "id": "MedicationRequest.medication[x].coding:varunr.system",
                "path": "MedicationRequest.medication[x].coding.system",
                "min": 1,
                "fixedUri": "http://electronichealth.se/fhir/NamingSystem/varunr",
                "mustSupport": true
            },
            {
                "id": "MedicationRequest.medication[x].coding:varunr.code",
                "path": "MedicationRequest.medication[x].coding.code",
                "comment": "Minimum string length: 6\nMaximum string length: 6",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationRequest.medication[x].text",
                "path": "MedicationRequest.medication[x].text",
                "short": "Information about the prescribed article",
                "definition": "FOR FUTURE USE, SHOULD NOT BE USED!\nUsed to provide information about the prescribed article when a specified article isn´t available. For example when prescribing extemporaneous preparations.",
                "comment": "Max length: 255",
                "maxLength": 255,
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Beskrivning artikel"
                    }
                ]
            },
            {
                "id": "MedicationRequest.subject",
                "path": "MedicationRequest.subject",
                "short": "Who the prescription is for",
                "definition": "Patient resource representing the person to whom the medical product will be given.\nWhen the patient has a Swedish personal identity number (personnummer) the patient shall be provided as a referenced Patient resorce. If the patient does not have a Swedish personal identity number the Patient resource should be contained in the MedicationRequest resource.",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "http://electronichealth.se/fhir/StructureDefinition/NLLPatient"
                        ],
                        "aggregation":  [
                            "contained",
                            "referenced"
                        ]
                    }
                ],
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Patientreferens"
                    }
                ]
            },
            {
                "id": "MedicationRequest.authoredOn",
                "path": "MedicationRequest.authoredOn",
                "short": "When prescription was initially authored",
                "definition": "The date and time when the prescription was authored.",
                "comment": "The time part is not mandatory, only a date may be provided.",
                "min": 1,
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Utfärdandedatum"
                    }
                ]
            },
            {
                "id": "MedicationRequest.requester",
                "path": "MedicationRequest.requester",
                "short": "The practitioner who prescribed the article",
                "definition": "The practitioner who prescribed the article",
                "min": 1,
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "http://electronichealth.se/fhir/StructureDefinition/NLLPractitioner"
                        ],
                        "aggregation":  [
                            "contained"
                        ]
                    }
                ],
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Utfärdande förskrivare"
                    }
                ]
            },
            {
                "id": "MedicationRequest.reasonCode",
                "path": "MedicationRequest.reasonCode",
                "short": "Reason for the treatment",
                "definition": "The reason stated by the practitioner for ordering a medical product (behandlingsorsak). A code from \"Nationell källa för ordinationsorsak\" which is a code system that is defined by the Swedish National Board of Health and Welfare (Socialstyrelsen). The code system consists of SnomedCT codes for reasons. Each medical product has of a selection of valid SnomedCT reason codes.\nThe reason shall also be expressed in a way that can be easily understood by the patient (behandlingsändamål). This should be entered in nllPatientTreatmentReason.\nIf there is no available code that describes the reason, then the code \"OTH\" (Other) shall be used. In that case a text describing the reason must be provided in reasonCode.text.",
                "comment": "_",
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "valueSet": "http://electronichealth.se/fhir/ValueSet/nll-snomed-behandlingsorsak"
                },
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Behandlingsorsak"
                    }
                ]
            },
            {
                "id": "MedicationRequest.reasonCode.extension:nlldataAbsentReason",
                "path": "MedicationRequest.reasonCode.extension",
                "sliceName": "nlldataAbsentReason",
                "short": "masked",
                "definition": "Marks masked data, ie why data is missing.",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://hl7.org/fhir/StructureDefinition/data-absent-reason"
                        ]
                    }
                ],
                "mustSupport": true,
                "isModifier": false,
                "binding": {
                    "strength": "required",
                    "valueSet": "http://electronichealth.se/fhir/ValueSet/data-absent-reason"
                }
            },
            {
                "id": "MedicationRequest.reasonCode.extension:nlldataAbsentReason.value[x]",
                "path": "MedicationRequest.reasonCode.extension.value[x]",
                "short": "Masked"
            },
            {
                "id": "MedicationRequest.reasonCode.coding",
                "path": "MedicationRequest.reasonCode.coding",
                "min": 1,
                "max": "1",
                "mustSupport": true
            },
            {
                "id": "MedicationRequest.reasonCode.coding.system",
                "path": "MedicationRequest.reasonCode.coding.system",
                "mustSupport": true
            },
            {
                "id": "MedicationRequest.reasonCode.coding.version",
                "path": "MedicationRequest.reasonCode.coding.version",
                "mustSupport": true
            },
            {
                "id": "MedicationRequest.reasonCode.coding.code",
                "path": "MedicationRequest.reasonCode.coding.code",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationRequest.reasonCode.text",
                "path": "MedicationRequest.reasonCode.text",
                "short": "Other reason",
                "definition": "If no code could be chosen from \"Nationell källa för ordinationsorsak\" an other reason may be entered here.",
                "comment": "Maximum string length: 255",
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Beskrivning annan behandlingsorsak"
                    }
                ]
            },
            {
                "id": "MedicationRequest.note",
                "path": "MedicationRequest.note",
                "definition": "Prescriptions in the Swedish National Medication List can contain 4 different kinds of notes:\npre=Prescribers comment (Förskrivarens kommentar, read/write)\npha=Pharmacists comment (Apotekets kommentar, read/write)\nnot=Prescribers note (Notat förskrivare, read only, will be deprecated)\ndli=Delivery message (Leveransmeddelande, read only, will be deprecated)",
                "max": "4",
                "type":  [
                    {
                        "code": "Annotation",
                        "profile":  [
                            "http://electronichealth.se/fhir/StructureDefinition/NLLAnnotation"
                        ]
                    }
                ],
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Apotekets kommentar, Förskrivarens kommentar, Leveransmeddelande, Notat förskrivare"
                    }
                ]
            },
            {
                "id": "MedicationRequest.note.extension:nllMedReqNoteType",
                "path": "MedicationRequest.note.extension",
                "sliceName": "nllMedReqNoteType",
                "short": "Type of note"
            },
            {
                "id": "MedicationRequest.note.text",
                "path": "MedicationRequest.note.text",
                "comment": "Maximum string length prescribers comment (Förskrivarens kommentar): 35\nMaximum string length pharmacists comment (Apotekets kommentar): 512\nMaximum string length prescribers note (Notat förskrivare): 255\nMaximum string length delivery message (Leveransmeddelande): 35"
            },
            {
                "id": "MedicationRequest.dosageInstruction",
                "path": "MedicationRequest.dosageInstruction",
                "short": "How the medication should be taken",
                "definition": "Mandatory for medications and technical spirit",
                "type":  [
                    {
                        "code": "Dosage",
                        "profile":  [
                            "http://electronichealth.se/fhir/StructureDefinition/NLLDosage"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "MedicationRequest.dosageInstruction.extension:nllAdministeringInstruction",
                "path": "MedicationRequest.dosageInstruction.extension",
                "sliceName": "nllAdministeringInstruction"
            },
            {
                "id": "MedicationRequest.dosageInstruction.extension:nllAdministeringInstruction.value[x]",
                "path": "MedicationRequest.dosageInstruction.extension.value[x]",
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Administreringsinstruktion"
                    }
                ]
            },
            {
                "id": "MedicationRequest.dosageInstruction.patientInstruction",
                "path": "MedicationRequest.dosageInstruction.patientInstruction",
                "definition": "Dosage instructions in terms that are understood by the patient."
            },
            {
                "id": "MedicationRequest.dispenseRequest",
                "path": "MedicationRequest.dispenseRequest",
                "min": 1,
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Expedieringsdetaljer"
                    }
                ]
            },
            {
                "id": "MedicationRequest.dispenseRequest.extension",
                "path": "MedicationRequest.dispenseRequest.extension",
                "min": 3
            },
            {
                "id": "MedicationRequest.dispenseRequest.extension:nllNumberOfPackagesPrescribed",
                "path": "MedicationRequest.dispenseRequest.extension",
                "sliceName": "nllNumberOfPackagesPrescribed",
                "short": "Number of packages prescribed per dispense",
                "definition": "The number of packages prescribed per dispense. Not used for dose dispensed prescriptions.",
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://electronichealth.se/fhir/StructureDefinition/NLLNumberOfPackagesPrescribed"
                        ]
                    }
                ],
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Antal förpackningar per uttag"
                    }
                ]
            },
            {
                "id": "MedicationRequest.dispenseRequest.extension:nllDosePackaging",
                "path": "MedicationRequest.dispenseRequest.extension",
                "sliceName": "nllDosePackaging",
                "short": "Dose dispensed prescription",
                "definition": "Indicates if the prescription should be dose dispensed.",
                "min": 1,
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://electronichealth.se/fhir/StructureDefinition/NLLDosePackaging"
                        ]
                    }
                ],
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Dosdispensering"
                    }
                ]
            },
            {
                "id": "MedicationRequest.dispenseRequest.extension:nllPrescriptionCommunicableDiseasesAct",
                "path": "MedicationRequest.dispenseRequest.extension",
                "sliceName": "nllPrescriptionCommunicableDiseasesAct",
                "short": "Prescription according to the Communicable Diseases Act",
                "definition": "Indicates of the prescription is created according to the Communicable Diseases Act (Smittskyddslagen)",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://electronichealth.se/fhir/StructureDefinition/NLLPrescriptionCommunicableDiseasesAct"
                        ]
                    }
                ],
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Förskrivning enligt smittskyddslagen"
                    }
                ]
            },
            {
                "id": "MedicationRequest.dispenseRequest.extension:nllPatientPharmaceuticalBenefitsAct",
                "path": "MedicationRequest.dispenseRequest.extension",
                "sliceName": "nllPatientPharmaceuticalBenefitsAct",
                "short": "Patient eligible to benefits",
                "definition": "Indicates if the patient is eligible to benefits according to the Pharmaceutical Benefits Act (Lag (2002:160) om läkemedelsförmån)",
                "min": 1,
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://electronichealth.se/fhir/StructureDefinition/NLLPatientPharmaceuticalBenefitsAct"
                        ]
                    }
                ],
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Patient förmånsberättigad"
                    }
                ]
            },
            {
                "id": "MedicationRequest.dispenseRequest.extension:nllConditionsPharmaceuticalBenefitsAct",
                "path": "MedicationRequest.dispenseRequest.extension",
                "sliceName": "nllConditionsPharmaceuticalBenefitsAct",
                "short": "Pharmaceutical benefits act conditions",
                "definition": "Only relevant if the medication has restrictions for reimbursement.\nIndicates if the patient fulfills the conditions for the prescribed medication.",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://electronichealth.se/fhir/StructureDefinition/NLLConditionsPharmaceuticalBenefitsAct"
                        ]
                    }
                ],
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Förmånsvillkor uppfyllda"
                    }
                ]
            },
            {
                "id": "MedicationRequest.dispenseRequest.extension:nllTotalQuantity",
                "path": "MedicationRequest.dispenseRequest.extension",
                "sliceName": "nllTotalQuantity",
                "short": "Amount of medication to supply in total",
                "definition": "Amount of medication to supply in total for this prescription. Calculated be the Swedish E-health Agency.",
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://electronichealth.se/fhir/StructureDefinition/NLLTotalQuantity"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:prescribed",
                "path": "MedicationRequest.dispenseRequest.extension.extension",
                "sliceName": "prescribed",
                "short": "Total amount prescribed",
                "definition": "Total amount prescribed in this prescription. Calculated by the Swedish e-health Agency. Not used for dose dispensed prescriptions.\nThe unit used is the unit specified in VARA (the Swedish national registry for medical products) for the prescribed medical product.",
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Förskriven mängd"
                    }
                ]
            },
            {
                "id": "MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:prescribed.value[x]",
                "path": "MedicationRequest.dispenseRequest.extension.extension.value[x]",
                "min": 1
            },
            {
                "id": "MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:prescribed.value[x].value",
                "path": "MedicationRequest.dispenseRequest.extension.extension.value[x].value",
                "mustSupport": true
            },
            {
                "id": "MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:remaining",
                "path": "MedicationRequest.dispenseRequest.extension.extension",
                "sliceName": "remaining",
                "short": "Quantity remaining",
                "definition": "The remaining quantity that may be dispensed for this prescription. Calculated by the Swedish e-health Agency.  Not used for dose dispensed prescriptions.\nThe unit used is the unit specified in VARA (the Swedish national registry for medical products) for the prescribed medical product.",
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Kvarvarande mängd"
                    }
                ]
            },
            {
                "id": "MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:remaining.value[x]",
                "path": "MedicationRequest.dispenseRequest.extension.extension.value[x]",
                "min": 1
            },
            {
                "id": "MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:remaining.value[x].value",
                "path": "MedicationRequest.dispenseRequest.extension.extension.value[x].value",
                "mustSupport": true
            },
            {
                "id": "MedicationRequest.dispenseRequest.extension:nllBenefitDetails",
                "path": "MedicationRequest.dispenseRequest.extension",
                "sliceName": "nllBenefitDetails",
                "short": "Benefit calculation information",
                "definition": "Information needed for calculating benefit",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://electronichealth.se/fhir/StructureDefinition/NLLBenefitDetails"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:dailyBenefitQuantityUnfeasible",
                "path": "MedicationRequest.dispenseRequest.extension.extension",
                "sliceName": "dailyBenefitQuantityUnfeasible",
                "short": "Indication if daily quantity can't be calculated",
                "mustSupport": true
            },
            {
                "id": "MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:dailyBenefitQuantity",
                "path": "MedicationRequest.dispenseRequest.extension.extension",
                "sliceName": "dailyBenefitQuantity",
                "mustSupport": true
            },
            {
                "id": "MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:nextDispenseWithinBenefit",
                "path": "MedicationRequest.dispenseRequest.extension.extension",
                "sliceName": "nextDispenseWithinBenefit",
                "mustSupport": true
            },
            {
                "id": "MedicationRequest.dispenseRequest.extension:nllNumberOfFillsRemaining",
                "path": "MedicationRequest.dispenseRequest.extension",
                "sliceName": "nllNumberOfFillsRemaining",
                "short": "Number of fills remaining",
                "definition": "The number of fills this prescriptions has remaining. Calculated by the Swedish E-health Agency. Not used for dose dispensed prescriptions.",
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://electronichealth.se/fhir/StructureDefinition/NLLNumberOfFillsRemaining"
                        ]
                    }
                ],
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Antal uttag kvar"
                    }
                ]
            },
            {
                "id": "MedicationRequest.dispenseRequest.extension:nllReceivingPharmacy",
                "path": "MedicationRequest.dispenseRequest.extension",
                "sliceName": "nllReceivingPharmacy",
                "short": "Receiving Pharmacy",
                "definition": "Receiving Pharmacy is used when the patient does not have a Swedish national identification number (\"personnummer\"). The patient has to pick up his/her medication at the receiving pharmacy where he/she is identified through name, birthdate and sex.\nThe receiving pharmacy is tied to the physical adress. This means that if the premises are taken over by a different organization, the prescription will still be available at the same physical adress,",
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://electronichealth.se/fhir/StructureDefinition/NLLPharmacyReference"
                        ]
                    }
                ],
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Mottagande apotek"
                    }
                ]
            },
            {
                "id": "MedicationRequest.dispenseRequest.extension:nllPrescriberCostCenter",
                "path": "MedicationRequest.dispenseRequest.extension",
                "sliceName": "nllPrescriberCostCenter",
                "short": "The prescribers cost center",
                "definition": "The prescribers cost center code when making the prescription. Used for benefit billing within the regions.",
                "comment": "Minimum string length: 3\nMaximum string length: 13",
                "min": 1,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://electronichealth.se/fhir/StructureDefinition/NLLPrescriberCostCenter"
                        ]
                    }
                ],
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Kostnadsställe (arbetsplatskod)"
                    }
                ]
            },
            {
                "id": "MedicationRequest.dispenseRequest.extension:nllPrescriberCostCenter.value[x]",
                "path": "MedicationRequest.dispenseRequest.extension.value[x]"
            },
            {
                "id": "MedicationRequest.dispenseRequest.extension:nllPrescriberCostCenter.value[x].value",
                "path": "MedicationRequest.dispenseRequest.extension.value[x].value",
                "maxLength": 13
            },
            {
                "id": "MedicationRequest.dispenseRequest.extension:nllSubstitutionOpposed",
                "path": "MedicationRequest.dispenseRequest.extension",
                "sliceName": "nllSubstitutionOpposed",
                "short": "Substitution opposed",
                "definition": "Only used for dose dispensed prescriptions.\nSubstitution is opposed (sv: bytes ej) by either the pharmacist or the patient. This information can be saved on the prescription as the patient isn't present when the dispensing takes place.",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://electronichealth.se/fhir/StructureDefinition/NLLSubstitutionOpposed"
                        ]
                    }
                ],
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "valueSet": "http://ehalsomyndigheten.se/fhir/ValueSet/substitution-opposition-types"
                },
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Bytes ej"
                    }
                ]
            },
            {
                "id": "MedicationRequest.dispenseRequest.extension:nllNumberOfDispensesAllowed",
                "path": "MedicationRequest.dispenseRequest.extension",
                "sliceName": "nllNumberOfDispensesAllowed",
                "short": "Number of dispenses allowed",
                "definition": "Number of dispenses allowed (sv. förskrivet antal uttag) is the common way in Sweden of communicating the total number of dispenses that can be performed. The standard field number of repeats allowed is similar but does not include the first dispense. The two terms are related by the formula numberOfRepeatsAllowed +1 = numberOfDispensesAllowed.",
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://electronichealth.se/fhir/StructureDefinition/NLLNumberOfDispensesAllowed"
                        ]
                    }
                ],
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Förskrivet antal uttag"
                    }
                ]
            },
            {
                "id": "MedicationRequest.dispenseRequest.extension:nllNextDateDispenseInterval",
                "path": "MedicationRequest.dispenseRequest.extension",
                "sliceName": "nllNextDateDispenseInterval",
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://electronichealth.se/fhir/StructureDefinition/NLLNextDateDispenseInterval"
                        ]
                    }
                ],
                "mustSupport": true,
                "isModifier": false
            },
            {
                "id": "MedicationRequest.dispenseRequest.extension:nllNextDateDispenseInterval.url",
                "path": "MedicationRequest.dispenseRequest.extension.url",
                "fixedUri": "http://electronichealth.se/fhir/StructureDefinition/nllNextDateDispenseInterval"
            },
            {
                "id": "MedicationRequest.dispenseRequest.initialFill",
                "path": "MedicationRequest.dispenseRequest.initialFill",
                "short": "Indication for Trial Fill",
                "definition": "Used for indicating \"Trial Fill\". May only be one package, usually the smallest package available. Not used for dose dispensed prescriptions.",
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Startförpackning"
                    }
                ]
            },
            {
                "id": "MedicationRequest.dispenseRequest.initialFill.quantity",
                "path": "MedicationRequest.dispenseRequest.initialFill.quantity",
                "short": "Trial fill quantity, one package",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationRequest.dispenseRequest.initialFill.quantity.value",
                "path": "MedicationRequest.dispenseRequest.initialFill.quantity.value",
                "min": 1,
                "fixedDecimal": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationRequest.dispenseRequest.initialFill.quantity.unit",
                "path": "MedicationRequest.dispenseRequest.initialFill.quantity.unit",
                "fixedString": "Package",
                "mustSupport": true
            },
            {
                "id": "MedicationRequest.dispenseRequest.initialFill.quantity.system",
                "path": "MedicationRequest.dispenseRequest.initialFill.quantity.system",
                "fixedUri": "http://unitsofmeasure.org",
                "mustSupport": true
            },
            {
                "id": "MedicationRequest.dispenseRequest.initialFill.quantity.code",
                "path": "MedicationRequest.dispenseRequest.initialFill.quantity.code",
                "min": 1,
                "fixedCode": "{Package}",
                "mustSupport": true
            },
            {
                "id": "MedicationRequest.dispenseRequest.initialFill.duration",
                "path": "MedicationRequest.dispenseRequest.initialFill.duration",
                "max": "0"
            },
            {
                "id": "MedicationRequest.dispenseRequest.dispenseInterval",
                "path": "MedicationRequest.dispenseRequest.dispenseInterval",
                "definition": "The minimum period of time that must occur between dispenses of the medical product. Not used for dose dispensed prescriptions.",
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Expedieringsintervall"
                    }
                ]
            },
            {
                "id": "MedicationRequest.dispenseRequest.dispenseInterval.value",
                "path": "MedicationRequest.dispenseRequest.dispenseInterval.value",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationRequest.dispenseRequest.dispenseInterval.system",
                "path": "MedicationRequest.dispenseRequest.dispenseInterval.system",
                "mustSupport": true
            },
            {
                "id": "MedicationRequest.dispenseRequest.dispenseInterval.code",
                "path": "MedicationRequest.dispenseRequest.dispenseInterval.code",
                "min": 1,
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "valueSet": "http://electronichealth.se/fhir/ValueSet/dispense-interval-units"
                },
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Expedieringsintervall enhet"
                    }
                ]
            },
            {
                "id": "MedicationRequest.dispenseRequest.validityPeriod",
                "path": "MedicationRequest.dispenseRequest.validityPeriod",
                "definition": "This indicates the validity period of a prescription (stale dating the Prescription). I no validityPeriod.end is provided, then it will be calculated by the Swedish E-health Agency. The validity period may not be longer than one year.",
                "mustSupport": true
            },
            {
                "id": "MedicationRequest.dispenseRequest.validityPeriod.extension:nllFirstDispenseBefore",
                "path": "MedicationRequest.dispenseRequest.validityPeriod.extension",
                "sliceName": "nllFirstDispenseBefore",
                "short": "First dispense must occur before",
                "definition": "Not used for dose dispensed prescriptions\nThe first dispense must occur before this date. If not, the prescription will be invalidated.",
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://electronichealth.se/fhir/StructureDefinition/NLLFirstDispenseBefore"
                        ]
                    }
                ],
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Första uttag före"
                    }
                ]
            },
            {
                "id": "MedicationRequest.dispenseRequest.validityPeriod.end",
                "path": "MedicationRequest.dispenseRequest.validityPeriod.end",
                "short": "Last date when dispensing is allowed",
                "definition": "Last date when dispensing is allowed. If no date is provided it will be calculated by the Swedish E-health Agency.\nNB! This is only handled as a date, the time part of the dateTime is not used.",
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Sista giltighetsdag"
                    }
                ]
            },
            {
                "id": "MedicationRequest.dispenseRequest.numberOfRepeatsAllowed",
                "path": "MedicationRequest.dispenseRequest.numberOfRepeatsAllowed",
                "definition": "Not used for dose dispensed prescriptions.\nAn integer indicating the number of times, in addition to the original dispense, (aka refills or repeats) that the patient can receive the prescribed medication. Usage Notes: This integer does not include the original order dispense. This means that if an order indicates dispense 30 tablets plus \"3 repeats\", then the order can be dispensed a total of 4 times and the patient can receive a total of 120 tablets.  A prescriber may explicitly say that zero refills are permitted after the initial dispense.",
                "comment": "If using this as basis for displaying \"total number of authorized fills\", add 1 to this number. This is because the total number of dispenses is the original dispense + additional dispenses stipulated by \"number of repeats allowed\".",
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Förskrivet antal uttag",
                        "comment": "NB! Förskrivet antal uttag -1"
                    }
                ]
            },
            {
                "id": "MedicationRequest.dispenseRequest.quantity",
                "path": "MedicationRequest.dispenseRequest.quantity",
                "definition": "The amount that is to be dispensed for one fill.\nThe unit used is the unit specified in VARA (the Swedish national registry for medical products) for the prescribed medical product.\nCalculated by the Swedish E-health Agency based on nllNumberOfPackagesPrescibed and the quantity of medication in the package.\nNot used for dose dispensed prescriptions.",
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Förskriven mängd per uttag"
                    }
                ]
            },
            {
                "id": "MedicationRequest.dispenseRequest.quantity.value",
                "path": "MedicationRequest.dispenseRequest.quantity.value",
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Förskriven mängd per uttag"
                    }
                ]
            },
            {
                "id": "MedicationRequest.substitution",
                "path": "MedicationRequest.substitution",
                "mustSupport": true
            },
            {
                "id": "MedicationRequest.substitution.allowed[x]",
                "path": "MedicationRequest.substitution.allowed[x]",
                "comment": "This element is labeled as a modifier because whether substitution is allow or not, it cannot be ignored.\nA missing value is the same as substitution allowed",
                "type":  [
                    {
                        "code": "boolean"
                    }
                ],
                "meaningWhenMissing": "A missing value is the same as substitution allowed",
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Substitution tillåten"
                    }
                ]
            },
            {
                "id": "MedicationRequest.priorPrescription",
                "path": "MedicationRequest.priorPrescription",
                "short": "A prescription that is being/has been replaced/renewed",
                "definition": "When replacing or renewing a prescription, the version of the replaced/renewed prescription must be provided in the POST operation.\nWhen reading a prescription, the reference to the replaced/renewed prescription will not be version specific.",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "http://electronichealth.se/fhir/StructureDefinition/NLLMedicationRequest"
                        ],
                        "aggregation":  [
                            "referenced"
                        ],
                        "versioning": "either"
                    }
                ],
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Referens till tidigare förskrivning"
                    }
                ]
            },
            {
                "id": "MedicationRequest.detectedIssue",
                "path": "MedicationRequest.detectedIssue",
                "short": "Automatic Format and Constitution Control warning (AFF-varning)",
                "definition": "Read only for MedicationRequest.\nAutomatic Format and Constitution Control (AFF) warning generated by the Swedish eHealth Agency according to the current conditions.",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "http://electronichealth.se/fhir/StructureDefinition/NLLDetectedIssue"
                        ],
                        "aggregation":  [
                            "contained"
                        ]
                    }
                ],
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "AFF-varning"
                    }
                ]
            }
        ]
    }
}

MedicationRequest		..
MedicationRequest.id		..
MedicationRequest.meta		..
MedicationRequest.meta.versionId		..
MedicationRequest.meta.security		..
MedicationRequest.meta.security.system		..
MedicationRequest.meta.security.version		..
MedicationRequest.meta.security.code		..
MedicationRequest.extension		2..
MedicationRequest.extension	Extension	..1
MedicationRequest.extension	Extension	..1
MedicationRequest.extension	Extension	1..1
MedicationRequest.extension	Extension	..1
MedicationRequest.extension.extension		..
MedicationRequest.extension.extension		..
MedicationRequest.extension	Extension	1..1
MedicationRequest.extension	Extension	..1
MedicationRequest.extension.extension		..
MedicationRequest.extension.extension		..
MedicationRequest.extension.extension		..
MedicationRequest.extension	Extension	..1
MedicationRequest.extension	Extension	..1
MedicationRequest.extension	Extension	..1
MedicationRequest.identifier		..
MedicationRequest.identifier		..1
MedicationRequest.identifier.extension	Extension	..1
MedicationRequest.identifier.extension.extension		..
MedicationRequest.identifier.extension.extension.value[x]		..
MedicationRequest.identifier.extension.extension		..
MedicationRequest.identifier.extension.extension		..
MedicationRequest.identifier.system		1..
MedicationRequest.identifier.value		..
MedicationRequest.status		..
MedicationRequest.statusReason		..
MedicationRequest.statusReason.coding		..1
MedicationRequest.statusReason.coding.system		1..
MedicationRequest.statusReason.coding.version		..
MedicationRequest.statusReason.coding.code		1..
MedicationRequest.intent		..
MedicationRequest.priority		..
MedicationRequest.medication[x]	CodeableConcept	..
MedicationRequest.medication[x].coding		1..
MedicationRequest.medication[x].coding		..1
MedicationRequest.medication[x].coding.system		1..
MedicationRequest.medication[x].coding.code		1..
MedicationRequest.medication[x].coding		..1
MedicationRequest.medication[x].coding.system		1..
MedicationRequest.medication[x].coding.code		1..
MedicationRequest.medication[x].coding		..1
MedicationRequest.medication[x].coding.system		1..
MedicationRequest.medication[x].coding.code		1..
MedicationRequest.medication[x].text		..
MedicationRequest.subject	Reference(NLLPatient)	..
MedicationRequest.authoredOn		1..
MedicationRequest.requester	Reference(NLLPractitioner)	1..
MedicationRequest.reasonCode		..
MedicationRequest.reasonCode.extension	Extension	..
MedicationRequest.reasonCode.extension.value[x]		..
MedicationRequest.reasonCode.coding		1..1
MedicationRequest.reasonCode.coding.system		..
MedicationRequest.reasonCode.coding.version		..
MedicationRequest.reasonCode.coding.code		1..
MedicationRequest.reasonCode.text		..
MedicationRequest.note	NLLAnnotation	..4
MedicationRequest.note.extension		..
MedicationRequest.note.text		..
MedicationRequest.dosageInstruction	NLLDosage	..
MedicationRequest.dosageInstruction.extension		..
MedicationRequest.dosageInstruction.extension.value[x]		..
MedicationRequest.dosageInstruction.patientInstruction		..
MedicationRequest.dispenseRequest		1..
MedicationRequest.dispenseRequest.extension		3..
MedicationRequest.dispenseRequest.extension	Extension	..1
MedicationRequest.dispenseRequest.extension	Extension	1..
MedicationRequest.dispenseRequest.extension	Extension	..
MedicationRequest.dispenseRequest.extension	Extension	1..
MedicationRequest.dispenseRequest.extension	Extension	..
MedicationRequest.dispenseRequest.extension	Extension	..1
MedicationRequest.dispenseRequest.extension.extension		..
MedicationRequest.dispenseRequest.extension.extension.value[x]		1..
MedicationRequest.dispenseRequest.extension.extension.value[x].value		..
MedicationRequest.dispenseRequest.extension.extension		..
MedicationRequest.dispenseRequest.extension.extension.value[x]		1..
MedicationRequest.dispenseRequest.extension.extension.value[x].value		..
MedicationRequest.dispenseRequest.extension	Extension	..
MedicationRequest.dispenseRequest.extension.extension		..
MedicationRequest.dispenseRequest.extension.extension		..
MedicationRequest.dispenseRequest.extension.extension		..
MedicationRequest.dispenseRequest.extension	Extension	..1
MedicationRequest.dispenseRequest.extension	Extension	..1
MedicationRequest.dispenseRequest.extension	Extension	1..1
MedicationRequest.dispenseRequest.extension.value[x]		..
MedicationRequest.dispenseRequest.extension.value[x].value		..
MedicationRequest.dispenseRequest.extension	Extension	..
MedicationRequest.dispenseRequest.extension	Extension	..1
MedicationRequest.dispenseRequest.extension	Extension	..1
MedicationRequest.dispenseRequest.extension.url		..
MedicationRequest.dispenseRequest.initialFill		..
MedicationRequest.dispenseRequest.initialFill.quantity		1..
MedicationRequest.dispenseRequest.initialFill.quantity.value		1..
MedicationRequest.dispenseRequest.initialFill.quantity.unit		..
MedicationRequest.dispenseRequest.initialFill.quantity.system		..
MedicationRequest.dispenseRequest.initialFill.quantity.code		1..
MedicationRequest.dispenseRequest.initialFill.duration		..0
MedicationRequest.dispenseRequest.dispenseInterval		..
MedicationRequest.dispenseRequest.dispenseInterval.value		1..
MedicationRequest.dispenseRequest.dispenseInterval.system		..
MedicationRequest.dispenseRequest.dispenseInterval.code		1..
MedicationRequest.dispenseRequest.validityPeriod		..
MedicationRequest.dispenseRequest.validityPeriod.extension	Extension	..1
MedicationRequest.dispenseRequest.validityPeriod.end		..
MedicationRequest.dispenseRequest.numberOfRepeatsAllowed		..
MedicationRequest.dispenseRequest.quantity		..
MedicationRequest.dispenseRequest.quantity.value		..
MedicationRequest.substitution		..
MedicationRequest.substitution.allowed[x]	boolean	..
MedicationRequest.priorPrescription	Reference(NLLMedicationRequest)	..
MedicationRequest.detectedIssue	Reference(NLLDetectedIssue)	..

Contained resources

References to other resources are based on contained resources in the following cases.

Element	Resource	Case
subject	Patient	When a patient is identified by name and birthdate only
requester	Practitioner	Always
dispenseRequest.nllReceivingPharmacy	Location	Always

For more information about references and contained resources see Resources - References.

Details

Description of all elements can be found here, Element descriptions.

Mapping of FHIR element names to the National Medication List names can be found here, Element language mappings.

Dosage

How to use the elements in dosageInstruction (the BackBoneElement Dosage) is described on the page Dosage and in the Handbok för vård- och apotekstjänster. Message examples for dosages are available on the page Dosage - Create

Medication request statuses

The following statuses are used within the National Medication List for prescriptions. For some updates additional information about the reason for change of status is automatically added, see value set Förskrivningsstatusorsak (medication-request-status-reasons).

Parameter	Comment
active	The prescription is available for dispatching (sv: Aktiv).
on-hold	The prescription is NOT available for dispatching (sv: Parkerad).
cancelled	MedicationRequest was faulty registered e.g. wrong medication or patient (sv: Makulerad).
completed	All dispatches have been done for the MedicationRequest (sv: Slutexpedierad).
stopped	MedicationRequest is no longer available for dispatches, e.g. due to the validity period dates have passed (sv: Avslutad).

See Value Set Förskrivningsstatus (medication-request-status).

Prescription chains

One of the features in the National Medication List is prescription chains. A prescription chain is a sequence of prescriptions where an old prescription has been terminated and replaced by a new prescription.

MedicationRequest.extension:nllPrescriptionChain is set by the National Medication List on all new prescriptions so from a technical point of view all precriptions are part of a chain. However the term prescription chain refers to when there are two or more prescriptions with the same chain ID.

A prescription chain is created when a prescription is replaced (sv. Ersätts) or renewed (sv. Förnyas). To replace or renew a prescription, it is required that the chain ID element, MedicationRequest.extension:nllPrescriptionChain, is included in the POST MedcationRequest request. The new prescription will then have the same chain ID as the old prescription and MedicationRequest.priorPrescription will be set to refer to the old prescription.

It is possible to fetch all prescriptions that are part of a chain via the prescription chain ID, ../MedicationRequest?nllPrescriptionChain=[UUID]. See below for more search options.

In order to sort all prescriptions in the chain in chronological order the element MedicationRequest.priorPrescription is used. It points at the prior prescription in the chain so the first prescription in the chain has no prior prescription, or a prior prescription that is missing because old records has reached end of life and have been removed. The second prescription in the chain points at the first one and so on. The chain may also include cancelled (sv. makulera) prescriptions, i.e. a prescription that was never used. It is therefore possible that more than one prescription points at the same prior prescription.

Below is an example of how a prescriptions in a prescription chain may be linked together:

prescription-chain-illustration

Parallel prescriptions in a prescription chain

There is a special case when two (and only two) prescriptions in the same prescription chain may have the statuses 'active', 'completed' or 'on-hold' during the same point in time. This means that there can be two prescriptions in the same prescription chain that may authorize dispensing at the same time.

A parallel prescription is created when a future change of a treatment is needed and two prescriptions are created in the same prescription chain. As the change is in the future the patient may need to be able to get dispenses authorized by both parallel prescriptions.

For parallel prescriptions, the usage start date of the new prescription must be on the following day compared to the usage end date of the prior prescription.

Read the Handbok för vård- och apotekstjänster for more details about parallel prescriptions. Also note that there are requirements about how parallel prescriptions are presented in the user interface.

Some scenarios regarding parallell prescriptions are supported by the profile NLLPrescriptionBundle which is described in this implementation guide NLLPrescriptionBundle

prescription-active-parallell

The active prescriptions in the picture above can be changed in different ways according to the rules described in the Handbok för vård- och apotekstjänster. One possible outcome is that the Active Prescription 3 could point at a cancelled prescription as its prior prescription, which would happen if prescription 2 in the picture is cancelled.

Annotations

The annotation element is profiled to handle four different type of notes: the prescriber's comment (sv förskrivarens kommentar), the pharmacy's comment (sv apotekets kommentar), legacy delivery message (sv leveransmeddelande) and legacy prescribers note (sv: notat förskrivare).

Supported operations

HTTP methods

Operation	Supported	Comment
Search (GET, POST)	yes	See below for supported search options.
Insert (POST)	yes	Create a new prescription.
Update (PUT)	yes	Change a prescription. Only a limited set of attributes can be updated.
Delete (DEL)	no
Operation (GET, POST)	yes	See below for supported extended operations.

When interacting with this resource a set of HTTP-headers must be included in the request, see HTTP Header and Authorization.

Query operations

Supported queries are:

../MedicationRequest/[id]
../MedicationRequest/[id]/_history{/[vid]}
../MedicationRequest?[parameters]
Parameter chains:

Chain 1
patient._id=[id]|nllPrescriptionChain=[UUID]
{&status=[code]}
{&authoredon=ge[date]{&authoredon=le[date]}}

Chain 2
nllReceivingPharmacy.identifier=[GLN]
&patient.birthdate=[date]|&authoredon=ge[date]{&authoredon=le[date]} (Deprecated parameter: birthdate ) {&patient.birthdate=[date]}(Deprecated parameter: birthdate )
{&authoredon=ge[date]{&authoredon=le[date]}}
{&status=[code]}

Chain 3
prescriptionSetId=[id]
{&rowId=[id]{&productRowId=[id]}}

Chain 4
provenance._id=[id]

Chain 5
nllOrdinationsId=[id]

Compartment searches

Supported searches on a compartment. This kind of search returns a bundle with the related resources.

../MedicationRequest?_id=[id]{,[id] ...} returns all MedicationRequests for the specified list of logical ids. The size of the list is restricted by the max length allowed for the URL.
../MedicationRequest/[id]/Provenance returns all related Provenances.
../MedicationRequest/[id]/MedicationDispense returns all related MedicationDispenses (only NLLMedicationDispense).
../Provenance/[id]/MedicationRequest returns all related MedicationRequests.
../Patient/[id]/MedicationRequest{?[parameters]} returns all related MedicationRequests for the specified patient matching the optional parameters.

parameters - any combination of:

{nllPrescriptionChain=[uuid]}
{&}{authoredon=ge[date]{&authoredon=le[date]}}
{&}{status=[code]}

Include & reverse includes

Supported usage of include and revinclude. This kind of search returns a bundle of both the base resource and the related resources specified in the parameter. Revinclude are supported by this resource.

../MedicationRequest?[parameters]&_revinclude=MedicationDispense:prescription returns a medication request together with all related medication dispenses. See above for a list of valid parameters.
../MedicationRequest?[parameters]&_revinclude=Provenance:target:MedicationRequest returns one or more MedicationRequests together with their Provenances. The Provenance returned is the one pointing at the returned version of the MedicationRequest. See above for a list of valid parameters.

Exampels

../Patient/[id]/MedicationRequest?status=active&_revinclude=MedicationDispense:prescription returns all active MedicationRequests including their MedicationDispenses for the specified patient.
../MedicationRequest?patient._id=<uuid>&status=active&_revinclude=Provenance:target:MedicationRequest returns the patient's active MedicationReqeusts including one provenance per medication request.

For generic information about how to search in FHIR look here.

Search parameters

The table below shows all supported search parameters.

Parameter	Description	Comment
MedicationRequest/[id]	A read based on the logical ID (UUID) of a medication request `../MedicationRequest/<uuid>`
_history	A vread to get all versions of a prescription `../MedicationRequest/<uuid>/_history`
_history/[vid]	A vread to get a specific version of a prescription `../MedicationRequest/<uuid>/_history/3`
authoredon	Authored date intervall of a prescription `..?authoredon=le2021-01-20&authoredon=ge2021-02-01`	Supported prefix: le and ge. When searching on nllReceivingPharmacy.identifier one of authoredon and patient.birthdate must be included.
patient.birthdate (deprecated parameter 'birthdate')	Birthdate of a patient `..&patient.birthdate=2021-01-20`	When searching on nllReceivingPharmacy.identifier one of authoredon and patient.birthdate must be included.
nllPrescriptionChain	ID of a prescription chain (UUID) `..?nllPrescriptionChain=<uuid>`
nllOrdinationsId	OrdinationsId from OR (Receptdepå human). `..?nllOrdinationsId=25149`
nllReceivingPharmacy.identifier	A pharmacy's business identifier number (GLN) `..?nllReceivingPharmacy.identifier=1234567890123`	A prescription is bound to a specific pharmacy if the patient has no identification number
patient._id	Logical ID (UUID) of a patient `..?patient._id=<uuid>`
prescriptionSetId	ID on migrated prescription originally created in NEF/PIRR and OR `..?prescriptionSetId=<uuid>`
productRowId	Additional ID on some prescriptions originally created in NEF/PIRR and OR `..&productRowId=761456987`	prescriptionSetId + rowId + productRowId is in some cases needed to identify a prescription in NLL
provenance._id	Logical ID (UUID) of a provenance `..&provenance._id=<uuid>`
rowId	Additional ID on some prescriptions originally created in NEF/PIRR and OR `..&rowId=321654987`	prescriptionSetId + rowId is in some cases needed to identify a prescription in NLL
status	Comma separated list of prescription status `..&status=active,on-hold`	Se above for a list of all statuses
_revinclude	Related resources of the specified type to include in the response `..&_revinclude=MedicationDispense:prescription`	See HL7 Include other resources for more information
_id	A list of logical ID (UUID) for the medication requests to fetch `MedicationRequest?_id=[id]{,[id]...}`	Max length of list is restricted by the max length of the URL.

Other operations

Operation Comment

$cancel-prescription

Invocations

URL: [base]/MedicationRequest/[id]/$cancel-prescription

This operation changes content

Return Values (Out)

Name	Cardinality	Type	Documentation
result	0..1	boolean	In the case of a successfull call, the result is set to "true"
message	0..1	string	A message is returned in the case of a successfull call.

$cancel-prescription is now obsolete and is planned to be removed in a future major release. The operation $end is the recommended operation for cancelling prescriptions.

Can be invoked with a HTTP POST.

This operation is used when it is not possible to fetch a patient's medication list, which is the case when the patient does not have a Swedish national identification number (sv personnummer), i.e. the prescription was created using birthdate instead of identity number. N.B. In order to do so the ID of the prescription must be stored by the requestor when creating the prescription.

$end

Invocations

URL: [base]/MedicationRequest/$end

This operation changes content

Parameters (In)

Name	Cardinality	Type	Documentation
entry	1..*		Data about the MedicationRequest(s) that shall be stopped (sv Avsluta) or cancelled (sv Makulera).
entry.resource	0..1	Reference(NLLReference)	NB! Either a reference OR a NEF-id (PrescriptionSetId, RowId and ProductRowId) must be provided. Reference to a MedicationRequest that shall be stopped (sv Avsluta) or cancelled (sv Makulera) on either of the following formats MedicationRequest/[id] OR MedicationRequest/[id]/_history/[vid]. In the case that the reference contains a specific version (/_history/[vid]) the version-information will be ignored.
entry.PrescriptionSetId	0..1	string	NB! Either a reference OR a NEF-id (PrescriptionSetId, RowId and ProductRowId) must be provided. The PrescriptionSetId used in the NEF-id. Can be in combination with RowId and ProductRowId. The provided combination of NEF-id-parts must resolve to a uniqe prescription. (sv Originalordinations-id)
entry.RowId	0..1	positiveInt	The RowId used in the NEF-id. Used in combination with PrescriptionSetId and ProductRowId. (sv Radnummer)
entry.ProductRowId	0..1	positiveInt	The ProductRowId used in the NEF-id. Used in combination with PrescriptionSetId and RowId. (sv Produktradnummer)
entry.reason	1..1	CodeableConcept(NLLProvenanceReason)	Reason the activity is occurring. Will be used in the linked Provenance. (sv Händelseorsak)
entry.activity	1..1	CodeableConcept(NLLProvenanceActivity)	Activity that occurred. Will be used in the linked Provenance. (sv Händelsetyp)
entry.nllUsageEndDate	0..1		End date for dosage usage (sv: Sista doseringsdag)
entry.nllUsageEndDate.operationType	1..1	code	replace \| delete The operation that should be applied on the UsageEndDate. It can be replaced with a new date, or it can be deleted.
entry.nllUsageEndDate.date	0..1	date	The date value that UsageEndDate shall get. Used in combination with the OperationType "replace".
entry.nllTreatmentEndDate	0..1		Last date for ending this treatment (sv: Senaste datum för avslut)
entry.nllTreatmentEndDate.operationType	1..1	code	replace \| delete The operation that should be applied on the TreatmentEndDate. It can be replaced with a new date, or it can be deleted.
entry.nllTreatmentEndDate.date	0..1	date	The date value that TreatmentEndDate shall get. Used in combination with the OperationType "replace".

Return Values (Out)

Name	Cardinality	Type	Documentation
result	0..1	boolean	In the case of a successfull call, the result is set to "true"

Can be invoked with a HTTP POST. This operation is used for stopping (sv Avsluta) or cancelling (sv Makulera) one or several prescriptions using their logical ids. In the case of an unsuccessfull transaction, an OperationOutcom is returned.

$monitoring

Invocations

URL: [base]/MedicationRequest/$monitoring

This operation does NOT change content

Parameters (In)

Name	Cardinality	Type	Documentation
pnr	1..50	string	List of patient personal identity numbers (sv personnummer). Currently this is only supported for patients with dose dispensed prescriptions (sv dospatient)
fromDate	0..1	date	Search for the selected patients' updated MedicationRequests from the specified date. One of either fromDate or toDate must be provided. fromDate must NOT be provided if a toDate is provided fromDate MUST<= today's date AND >= today's date - 60.
toDate	0..1	date	Search for the selected patients' MedicationRequests up to the date in MedicationRequest.dispenseRequest.validityPeriod.end (sv Sista giltighetsdag). One of either fromDate or toDate must be provided. toDate must NOT be provided if a fromDate is provided toDate MUST >= today's date AND <= today's date + 90.

Return Values (Out)

Name

Cardinality

Type

Documentation

return

1..1

Bundle

The returned Bundle contains MedicationRequest resources based on the profile NLLMedicationRequest and Patient resources based on the profile NLLPatient with a selection of attributes (id, meta.security, identifier and name).

There is a limitation that means a maximum of 1000 prescriptions can be returned per request.

Can be invoked with a HTTP POST.

$print

Invocations

URL: [base]/MedicationRequest/[id]/$print

This operation changes content

Return Values (Out)

Name	Cardinality	Type	Documentation
nllDispenseList	0..*	MedicationDispense	Prints additional dispenses made for this prescription that are not included on the pdf.
nllTreatmentEndDate	0..1	date	Last date for ending this treatment (sv: senaste datum för avslut)
nllTreatmentReviewDate	0..1	date	Last date for review (sv: senaste datum för uppföljning)
nllUsageEndDate	0..1	date	End date for dosage usage (sv: sista doseringsdag)
nllUsageStartDate	0..1	date	Start date for dosage usage (sv: första doseringsdag)
pdf	1..1	Binary	A Base64 encoded PDF file of the prescription original

Can be invoked with a HTTP POST.

This operation changes the format of the prescription (MedicationRequest) from digital to paper based. After a successful call, the returned PDF is printed out and serves as the prescription. Further dispenses will have to be made based on the information included on the printed prescription. Apart from the PDF, this operation will also return information about any dispenses that are not included on the printed prescription as a list of MedicationDispenses (the PDF only includes the 2 latest dispenses). In addition one of "treatment end date" or "treatment review date" may occur in the response.

Under certain circumstances, it is possible to generate a new PDF print-out from a paper based prescription that has already been printed. The new generated PDF will then contain the information "Receptkopia" (prescription copy) visible on the print-out.

A Provenance object must be included in the HTTP header X-Provenance.

$print-prescription-history

Invocations

URL: [base]/MedicationRequest/[id]/$print-prescription-history

This operation does NOT change content

Return Values (Out)

Name	Cardinality	Type	Documentation
return	1..1	Binary	A Base64 encoded PDF file which includes a prescription's history and dispenses.

Can be invoked with a HTTP POST or GET. This operation is invoked on a MedicationRequest resource to initiate the creation of a pdf report which inludes the selected prescription's history and dispensed medications. This report is intended for pharmacists, not patients. NB! The response containes a Binary resource without the parameter format.

$restore

Invocations

URL: [base]/MedicationRequest/$restore

This operation changes content

Parameters (In)

Name	Cardinality	Type	Documentation
resource	1..2	Reference(NLLReference)	Reference to the MedicationRequest(s) that should be restored to previous versions. Shall contain version specific reference to the resource version that will be restored on the following format: MedicationRequest/[id]/_history/[vid].

Return Values (Out)

Name	Cardinality	Type	Documentation
result	1..2	MedicationRequest	The restored MedicationRequests.

Can be invoked with a HTTP POST. This operation is used for restoring one or two (if parallell) MedicationRequests to their previous versions.

$verify

Invocations

URL: [base]/$verify
URL: [base]/MedicationRequest/$verify
URL: [base]/MedicationDispense/$verify

This operation does NOT change content

Parameters (In)

Name	Cardinality	Type	Documentation
resource	0..1	MedicationRequest(NLLMedicationRequest)	The MedicationRequest to be verified. This type of verification must be directed to the medication request end-point [base]/MedicationRequest/$verify.
resource	0..1	MedicationDispense(NLLMedicationDispense)	The MedicationDispense to be verified. This type of verification must be directed to the medication dispense end-point [base]/MedicationDispense/$verify.
resource	0..1	MedicationDispense(NLLDispensePaperPrescription)	The MedicationDispense to be verified. This type of verification must be directed to the medication dispense end-point [base]/MedicationDispense/$verify.
resource	0..1	Bundle(NLLDispatch)	A Bundle containing the MedicationDispenses to be verified. This type of verification must be directed to the service base end-point [base]/$verify.
resource	0..1	Bundle(NLLTransactionBundle)	A Bundle containing the resources to be verified. NB! Only MedicationDispenses to be verified according to the Automatic Format and Constitution Control (sv. Automatiska format- och författningskontroller AFF-kontroller). This type of verification must be directed to the service base end-point [base]/$verify.

Return Values (Out)

Name	Cardinality	Type	Documentation
detectedIssues	1..1	boolean	Has the value 'true' if any AFF errors or warnings are detected, otherwise 'false'
issues	0..1	OperationOutcome(NLLOperationOutcome)	The OperationOutcome resource, shown in the profile NLLOperationOutcome is a collection of error, warning, or information messages. If the Automatic Format and Constitution Control (sv. Automatiska format- och författningskontroller AFF-kontroller) returns any errors or warnings, these are displayed as DetectedIssues in an OperationOutcome. No OperationOutcome will be returened if there are no issues.

Must be invoked with a HTTP POST. This operation is invoked on MedicationDispense and MedicationRequest resources to verify them according to the Automatic Format and Constitution Control (sv. Automatiska format- och författningskontroller AFF-kontroller). It is also possible to verify a set of MedicationDispenses by using $verify on the service base and providing a Bundle according to NLLDispatch or NLLTransactionBundle. NB! When providing a Bundle only MedicationDispenses will be verified accroding to the Automatic Format and Constitution Control. It is important that the content of the resource parameter matches the end-point of the request.

Exampels

See exampels under MedicationRequest